Provider Demographics
NPI:1316177298
Name:LAURET HEARING CARE CENTER
Entity type:Organization
Organization Name:LAURET HEARING CARE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:TERRY
Authorized Official - Middle Name:ALLEN
Authorized Official - Last Name:LAURET
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:859-384-0333
Mailing Address - Street 1:8780 US ROUTE 42
Mailing Address - Street 2:STE D
Mailing Address - City:FLORENCE
Mailing Address - State:KY
Mailing Address - Zip Code:41042-6938
Mailing Address - Country:US
Mailing Address - Phone:859-384-0333
Mailing Address - Fax:859-384-1333
Practice Address - Street 1:8780 US ROUTE 42
Practice Address - Street 2:STE D
Practice Address - City:FLORENCE
Practice Address - State:KY
Practice Address - Zip Code:41042-6938
Practice Address - Country:US
Practice Address - Phone:859-384-0333
Practice Address - Fax:859-384-1333
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-25
Last Update Date:2012-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY1017332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment