Provider Demographics
NPI:1952697187
Name:MANN, LAUREN G (AUD CCC-A, FAAA)
Entity Type:Individual
Prefix:DR
First Name:LAUREN
Middle Name:G
Last Name:MANN
Suffix:
Gender:F
Credentials:AUD CCC-A, FAAA
Other - Prefix:DR
Other - First Name:LAUREN
Other - Middle Name:G
Other - Last Name:BARANOWSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AUD CCC-A, FAAA
Mailing Address - Street 1:3901 RAINBOW BLVD
Mailing Address - Street 2:MS 3047
Mailing Address - City:KANSAS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66160-8500
Mailing Address - Country:US
Mailing Address - Phone:913-588-5730
Mailing Address - Fax:913-588-8948
Practice Address - Street 1:3901 RAINBOW BLVD
Practice Address - Street 2:MS 3047
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66160-8500
Practice Address - Country:US
Practice Address - Phone:913-588-5730
Practice Address - Fax:913-588-8948
Is Sole Proprietor?:No
Enumeration Date:2011-06-27
Last Update Date:2015-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS2219231H00000X
KS1571237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter