Provider Demographics
NPI:1851579353
Name:CREEL HEARING CENTER, LLC
Entity Type:Organization
Organization Name:CREEL HEARING CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR/AUDIOLOGIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:LYNN
Authorized Official - Middle Name:P
Authorized Official - Last Name:CREEL
Authorized Official - Suffix:
Authorized Official - Credentials:MCD
Authorized Official - Phone:504-889-5339
Mailing Address - Street 1:3330 LAKE VILLA DR
Mailing Address - Street 2:SUITE 100
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70002-4357
Mailing Address - Country:US
Mailing Address - Phone:504-889-5339
Mailing Address - Fax:504-454-6692
Practice Address - Street 1:3330 LAKE VILLA DR
Practice Address - Street 2:SUITE 100
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70002-4357
Practice Address - Country:US
Practice Address - Phone:504-889-5339
Practice Address - Fax:504-454-6692
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-06
Last Update Date:2008-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1508332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment