Provider Demographics
NPI:1629527882
Name:LAGNIAPPE AUDIOLOGY SERVICES LLC
Entity Type:Organization
Organization Name:LAGNIAPPE AUDIOLOGY SERVICES LLC
Other - Org Name:LAGNIAPPE HEARING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:B
Authorized Official - Last Name:PONTHIER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-541-5596
Mailing Address - Street 1:3200 MONROE HWY
Mailing Address - Street 2:STE 122
Mailing Address - City:PINEVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:71360-8110
Mailing Address - Country:US
Mailing Address - Phone:318-704-6222
Mailing Address - Fax:318-704-6300
Practice Address - Street 1:3200 MONROE HWY
Practice Address - Street 2:STE 122
Practice Address - City:PINEVILLE
Practice Address - State:LA
Practice Address - Zip Code:71360-8110
Practice Address - Country:US
Practice Address - Phone:318-704-6222
Practice Address - Fax:318-704-6300
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-29
Last Update Date:2016-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Multi-Specialty