Provider Demographics
NPI:1669490389
Name:LAMAR UNIVERSITY
Entity Type:Organization
Organization Name:LAMAR UNIVERSITY
Other - Org Name:LAMAR SPEECH AND HEARING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CLINIC DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIN
Authorized Official - Middle Name:S
Authorized Official - Last Name:BURNS
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:409-880-8171
Mailing Address - Street 1:PO BOX 10076
Mailing Address - Street 2:
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77710-0076
Mailing Address - Country:US
Mailing Address - Phone:409-880-8177
Mailing Address - Fax:409-880-2265
Practice Address - Street 1:4810 ROLFE CHRISTOPHER DR.
Practice Address - Street 2:
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77705
Practice Address - Country:US
Practice Address - Phone:409-880-8171
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-18
Last Update Date:2022-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00T48AMedicare UPIN