Provider Demographics
NPI:1922776277
Name:LIFESTYLE HEARING CORPORATION USA INC
Entity Type:Organization
Organization Name:LIFESTYLE HEARING CORPORATION USA INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CONTRACTING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MORGAN
Authorized Official - Middle Name:
Authorized Official - Last Name:KLEIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-678-3394
Mailing Address - Street 1:PO BOX 1425
Mailing Address - Street 2:
Mailing Address - City:CAROL STREAM
Mailing Address - State:IL
Mailing Address - Zip Code:60132-1425
Mailing Address - Country:US
Mailing Address - Phone:561-530-2149
Mailing Address - Fax:
Practice Address - Street 1:2801 YOUNGFIELD ST STE 100
Practice Address - Street 2:
Practice Address - City:GOLDEN
Practice Address - State:CO
Practice Address - Zip Code:80401-0208
Practice Address - Country:US
Practice Address - Phone:303-231-9118
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-01
Last Update Date:2021-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Multi-Specialty