Lawrence Speech and Hearing Services
Organization Active NPI Audiologist · Mancos, CO
NPI 1174896872 · NPPES record last updated Aug 10, 2022
Key facts
- NPI
- 1174896872
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Audiologist 231H00000X
- License
- AUD-644 (CO)
- Legal business name
- LAWRENCE SPEECH AND HEARING SERVICES
- Practice address
- 111 North Main Street
Mancos, CO 81321-8132 - Phone
- (970) 459-1179
- Fax
- (800) 531-0273
- NPI assigned
- Feb 12, 2012
- Organization subpart
- No
Authorized official
- Name
- Dr. Christina Ann Boover, AU.D, CCC-A/SLP
- Title
- Doctor of Audiology/Speech Patholog
- Phone
- (970) 459-1179
Practitioners 2
-
Christina Boover Lawrence, AU.D., CCC-A/SLP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in CO, PR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210609000028 | CO | Part B Supplier - Clinic/Group Practice | 2365842614 |
Receives reassigned benefits from 3 practitioners Practice locations: Mancos, CO |
| O20220819000995 | PR | Part B Supplier - Clinic/Group Practice | 2365842614 |
Receives reassigned benefits from 1 practitioner Practice locations: Guaynabo, PR |
National Provider Directory
Locations
515 W Grand Ave
Unit E
Mancos, CO 81328
Phone (970) 459-1179
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist |
231H00000X | AUD-644 | CO | Yes |
Addresses
Primary practice location
111 North Main Street
Mancos, CO 81321-8132
Mailing address
PO Box 1256
Mancos, CO 81328-1256
Phone (970) 459-1179
Other practice location 1
515 Grand Ave
Ste E
Mancos, CO 81328-9245
Phone (970) 459-1179
Other practice location 2
1510 Fd Roosevelt Ste 705
Guaynabo, PR 00968-2602
Phone (787) 520-5404
Other providers in Mancos, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 10, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.