Larry Mazzeo is a Audiologist in Rolla, Missouri. Larry Mazzeo practices all healthcare services and medical treatments related to Audiologist. The NPI Number for Larry Mazzeo is 1669466892. The last update date is 2023-06-26.
Larry Mazzeo's current location address is 600 Blues Lake Pkwy, Rolla, Missouri. You can contact this provider via phone number 5733645719 and fax number 5733645719. The mailing address for Larry Mazzeo is 600 Blues Lake Pkwy, Rolla, Missouri. To know further, please read the information below!
Provider Profile Detail
Provider Name | Larry Mazzeo |
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Address | 600 Blues Lake Pkwy, Rolla, Missouri |
Phone Number | 5733645719 |
Fax Number | 5733645719 |
Sole Proprietor | N |
Credentials | AU.D. |
NPI Number Detail
NPI Number | 1669466892 |
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Provider Enumeration Date | 2005-09-02 |
Last Updated Date | 2023-06-26 |
Provider Mailing Address Detail
Address | 600 Blues Lake Pkwy |
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City | Rolla |
State | Missouri (MO) |
Post Code | 654018022 |
Phone Number | 5733645719 |
Fax Number | 5733645719 |
Provider's Primary Taxonomy Detail
Speciality | Audiologist |
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Taxonomy | 231H00000X |
Licence No | 117468 |
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 |
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What is the unique 10-digit identification code assigned to Larry Mazzeo by the Centers for Medicare & Medicaid Services?
The Larry Mazzeo has been issued the NPI (National Provider Identifier) 1669466892, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Larry Mazzeo's physical address?
The Larry Mazzeo is physically located at 600 Blues Lake Pkwy, in the city of Rolla, MO, with the postal code 654018022.
What is Larry Mazzeo's area of expertise and its corresponding taxonomy classification?
The Larry Mazzeo'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 Larry Mazzeo receive its 1669466892 assignment from the Centers for Medicare & Medicaid Services?
The Larry Mazzeo was assigned its 1669466892 by the Centers for Medicare & Medicaid Services on 2005-09-02.
When was the information regarding Larry Mazzeo, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Larry Mazzeo, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2023-06-26.