Provider Demographics
NPI:1063754398
Name:LION HEARING CENTERS, LLC.
Entity type:Organization
Organization Name:LION HEARING CENTERS, LLC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NATHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-268-8103
Mailing Address - Street 1:2208 HIGHWAY 121
Mailing Address - Street 2:SUITE 180
Mailing Address - City:BEDFORD
Mailing Address - State:TX
Mailing Address - Zip Code:76021-5981
Mailing Address - Country:US
Mailing Address - Phone:817-268-8103
Mailing Address - Fax:817-282-5967
Practice Address - Street 1:1050 E 3300 S
Practice Address - Street 2:SUITE 102
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84106-2184
Practice Address - Country:US
Practice Address - Phone:801-466-5929
Practice Address - Fax:801-466-2154
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-25
Last Update Date:2013-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT4988314-4602237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty