Lois Ann Benson

Individual provider Active NPI Audiologist · Maplewood, MN

NPI 1013110725 · NPPES record last updated Sep 16, 2022

Key facts

NPI
1013110725
Entity type
Individual (NPI type 1)
Primary specialty
Audiologist 231H00000X
License
5638 (MN)
Practice address
2115 County Road D E Ste A100
Maplewood, MN 55109-5354
Phone
(517) 770-5282
NPI assigned
Jun 8, 2007
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
2092MNMDSocial Worker
5638MNMDChiropractor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X 2092 MN
Audiologist 231H00000X 5638 MN Yes

Addresses

Primary practice location

2115 County Road D E Ste A100
Maplewood, MN 55109-5354

Mailing address

5000 Cheshire LN N
Plymouth, MN 55446-3706
Phone (888) 333-9152

Other names

  • Lois Ann Kieliszewski Former name

Other providers in Maplewood, MN

All providers in Maplewood, MN · Audiologist in Minnesota

Sources for this page

Verify at the official NPI Registry.