Lara Dilollo is a Audiologist in Wichita, Kansas. Lara Dilollo practices all healthcare services and medical treatments related to Audiologist. The NPI Number for Lara Dilollo is 1205042884. The last update date is 2007-07-09.
Lara Dilollo's current location address is 1845 Fairmount St, Wichita, Kansas. You can contact this provider via phone number 3169783289 and fax number 3169787264. The mailing address for Lara Dilollo is 1845 Fairmount St, Wichita, Kansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lara Dilollo |
|---|---|
| Address | 1845 Fairmount St, Wichita, Kansas |
| Phone Number | 3169783289 |
| Fax Number | 3169787264 |
| Sole Proprietor | N |
| Credentials | AUD CCC-A |
NPI Number Detail
| NPI Number | 1205042884 |
|---|---|
| Provider Enumeration Date | 2007-05-14 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 1845 Fairmount St |
|---|---|
| City | Wichita |
| State | Kansas (KS) |
| Post Code | 672600099 |
| Phone Number | 3169783289 |
| Fax Number | 3169787264 |
Provider's Primary Taxonomy Detail
| Speciality | Audiologist |
|---|---|
| Taxonomy | 231H00000X |
| Licence No | 1976 |
|
Definition: (1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditor |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 115488 | KS | BCBS | |
| 7481 | KS | PHS |
Post Comment/ Review Below
What is the unique identifier code issued to Lara Dilollo by the Centers for Medicare & Medicaid Services (CMS)?
The Lara Dilollo has been assigned the NPI (National Provider Identifier) 1205042884. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Lara Dilollo?
The Lara Dilollo is physically situated at 1845 Fairmount St, in the city of Wichita, state of KS, with the postal code 672600099.
What is Lara Dilollo's area of expertise and its corresponding taxonomy classification?
The Lara Dilollo's field of specialization is Audiologist, and it falls under the taxonomy code 231H00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Lara Dilollo receive its 1205042884 assignment from the Centers for Medicare & Medicaid Services?
The Lara Dilollo was assigned its 1205042884 by the Centers for Medicare & Medicaid Services on 2007-05-14.
As of what date were the details related to Lara Dilollo most recently updated or revised?
The information pertaining to Lara Dilollo, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-09.
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