| Loretta L Lauder, AUD | |
|
100 Jackson Pike, Gallipolis, OH 45631-1560 | |
| (740) 446-5401 | |
| (740) 446-5408 |
| Full Name | Loretta L Lauder |
|---|---|
| Gender | Female |
| Speciality | Qualified Audiologist |
| Experience | 33 Years |
| Location | 100 Jackson Pike, Gallipolis, Ohio |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710903398 | NPI | - | NPPES |
| 000000204545 | Other | OH | OH MEDICAID UNISON |
| 9460011000 | Medicaid | WV | |
| 0098575 | Medicaid | OH | |
| P00640947 | Other | OH | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 231H00000X | Audiologist | A.01057 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Holzer Medical Center | Gallipolis, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Holzer Clinic Llc | 5890606008 | 264 |
| Provider Name | Holzer Clinic Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1508817248 PECOS PAC ID: 5890606008 Enrollment ID: O20031215000746 |
| Mailing Address | Practice Location Address |
|---|---|
| Loretta L Lauder, AUD 90 Jackson Pike, Gallipolis, OH 45631-1560 Ph: (740) 446-5401 | Loretta L Lauder, AUD 100 Jackson Pike, Gallipolis, OH 45631-1560 Ph: (740) 446-5401 |
Kylee J Dailey, AU.D. Audiologist Medicare: May Accept Medicare Assignments Practice Location: 100 Jackson Pike, Gallipolis, OH 45631 Phone: 740-446-5937 | |
Kimberly D Jones, AUD Audiologist Medicare: Not Enrolled in Medicare Practice Location: 100 Jackson Pike, Gallipolis, OH 45631 Phone: 740-446-5135 Fax: 740-446-5958 | |
Carissa M Pessia, AUD Audiologist Medicare: Accepting Medicare Assignments Practice Location: 100 Jackson Pike, Gallipolis, OH 45631 Phone: 855-446-5937 Fax: 740-446-5958 | |
Kristin Michele Lydick, AU.D. Audiologist Medicare: Accepting Medicare Assignments Practice Location: 100 Jackson Pike, Gallipolis, OH 45631 Phone: 855-446-5937 | |
Molly A Kennedy, AUD Audiologist Medicare: Not Enrolled in Medicare Practice Location: 100 Jackson Pike, Gallipolis, OH 45631 Phone: 740-446-5415 Fax: 740-446-5958 |