Provider Demographics
NPI:1922575539
Name:RESONANCE AUDIOLOGY AND HEARING AID CENTER OF LANCASTER
Entity Type:Organization
Organization Name:RESONANCE AUDIOLOGY AND HEARING AID CENTER OF LANCASTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JODI
Authorized Official - Middle Name:L
Authorized Official - Last Name:HIGHFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-925-6112
Mailing Address - Street 1:406 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:NEW HOLLAND
Mailing Address - State:PA
Mailing Address - Zip Code:17557-1404
Mailing Address - Country:US
Mailing Address - Phone:717-925-6112
Mailing Address - Fax:717-355-2138
Practice Address - Street 1:816 ESTELLE DR
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17601-2135
Practice Address - Country:US
Practice Address - Phone:717-925-6112
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-01
Last Update Date:2018-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAAT006199OtherLICENSE NUMBER
DE1083843700OtherNPI