Provider Demographics
NPI:1881781540
Name:LAWRENCE HEARING, LLC
Entity type:Organization
Organization Name:LAWRENCE HEARING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, DISPENSER
Authorized Official - Prefix:MR
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:L
Authorized Official - Last Name:LAWRENCE
Authorized Official - Suffix:
Authorized Official - Credentials:BC-HIS
Authorized Official - Phone:845-343-7708
Mailing Address - Street 1:682 EAST MAIN STREET
Mailing Address - Street 2:SUITE 1A
Mailing Address - City:MIDDLETOWN
Mailing Address - State:NY
Mailing Address - Zip Code:10940
Mailing Address - Country:US
Mailing Address - Phone:845-343-7708
Mailing Address - Fax:845-343-7712
Practice Address - Street 1:682 EAST MAIN STREET
Practice Address - Street 2:SUITE 1A
Practice Address - City:MIDDLETOWN
Practice Address - State:NY
Practice Address - Zip Code:10940
Practice Address - Country:US
Practice Address - Phone:845-343-7708
Practice Address - Fax:845-343-7712
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-06
Last Update Date:2023-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY15000014350237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty