Provider Demographics
NPI:1336556687
Name:CREEL, JEFFERY LANCE II (AUD)
Entity Type:Individual
Prefix:MR
First Name:JEFFERY
Middle Name:LANCE
Last Name:CREEL
Suffix:II
Gender:M
Credentials:AUD
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Other - Credentials:
Mailing Address - Street 1:3330 LAKE VILLA DR
Mailing Address - Street 2:SUITE100
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:SUITE100
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
Is Sole Proprietor?:No
Enumeration Date:2014-07-18
Last Update Date:2014-07-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
LA7166237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter