Provider Demographics
NPI:1710548003
Name:2LA, LLC
Entity Type:Organization
Organization Name:2LA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:K
Authorized Official - Last Name:LANDREAU
Authorized Official - Suffix:
Authorized Official - Credentials:BC-HIS
Authorized Official - Phone:334-580-7061
Mailing Address - Street 1:4049 US HIGHWAY 231 # 225
Mailing Address - Street 2:
Mailing Address - City:WETUMPKA
Mailing Address - State:AL
Mailing Address - Zip Code:36093-1217
Mailing Address - Country:US
Mailing Address - Phone:334-315-1183
Mailing Address - Fax:
Practice Address - Street 1:4354 US HIGHWAY 231
Practice Address - Street 2:SUITE A
Practice Address - City:WETUMPKA
Practice Address - State:AL
Practice Address - Zip Code:36092
Practice Address - Country:US
Practice Address - Phone:334-580-7061
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-26
Last Update Date:2019-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty