Provider Demographics
NPI:1649733155
Name:PRO-CARE HEARING, LLC
Entity type:Organization
Organization Name:PRO-CARE HEARING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LEE
Authorized Official - Middle Name:A
Authorized Official - Last Name:LAWRENCE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:518-563-1748
Mailing Address - Street 1:123 LAKE ST
Mailing Address - Street 2:
Mailing Address - City:ROUSES POINT
Mailing Address - State:NY
Mailing Address - Zip Code:12979-1206
Mailing Address - Country:US
Mailing Address - Phone:518-569-1998
Mailing Address - Fax:
Practice Address - Street 1:245 TOM MILLER RD
Practice Address - Street 2:
Practice Address - City:PLATTSBURGH
Practice Address - State:NY
Practice Address - Zip Code:12901-6428
Practice Address - Country:US
Practice Address - Phone:518-563-1748
Practice Address - Fax:518-563-3077
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-11
Last Update Date:2019-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment