Provider Demographics
NPI:1689919417
Name:LAVACA PARTNERS, LLC
Entity Type:Organization
Organization Name:LAVACA PARTNERS, LLC
Other - Org Name:DBA ZOUNDS HEARING CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING EXECUTIVE / CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:B
Authorized Official - Last Name:MCKENZIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-383-4949
Mailing Address - Street 1:PO BOX 381
Mailing Address - Street 2:
Mailing Address - City:SHANNON
Mailing Address - State:AL
Mailing Address - Zip Code:35142-0381
Mailing Address - Country:US
Mailing Address - Phone:205-383-4949
Mailing Address - Fax:205-383-4955
Practice Address - Street 1:2801 JOHN HAWKINS PKWY
Practice Address - Street 2:SUITE 125G
Practice Address - City:HOOVER
Practice Address - State:AL
Practice Address - Zip Code:35244-4022
Practice Address - Country:US
Practice Address - Phone:205-383-4949
Practice Address - Fax:205-383-4955
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-05
Last Update Date:2012-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment