Lorra M. Pettit, AU.D.

Primary specialty

AudiologistTaxonomy code 231H00000X

License

3110 Issued in LA

Practice address

2516 Broadmoor Blvd
Monroe, LA 71201-2988

Phone

(318) 812-1125

NPI assigned

Sep 15, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Louisiana Ear, Nose, & Throat Specialists, Inc.

  • Otolaryngology Physician
  • Thibodaux, LA
  • NPI 1083713101
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1467558627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 DESIARD STREET",
            "address_2": "SUITE 355",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "71201",
            "telephone_number": "318-807-7875",
            "fax_number": "318-410-8093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2516 BROADMOOR BLVD",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712012988",
            "telephone_number": "318-812-1125"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "805 Stubbs Ave",
            "address_2": "Suite C",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "LA",
            "postal_code": "712015578",
            "country_code": "US",
            "telephone_number": "318-410-8000",
            "fax_number": "318-410-8093",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETTIT",
        "first_name": "LORRA",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-15",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "LA",
            "license": "3110",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1136964",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly Perry
• Timoth Richardson Perry, D.D.S.
• Shaniece Perryman
• Perspective Building Solutions, LLC
• Petrus Therapy LLC
• Laura Rush Petty, M.D.
• Sherry S Peveto, WHNP
• Deshara Latrice Phenix, PHARMD
• Heather Philley, RPH
• Macey B Philley

• Audiologist in Monroe, LA
• Providers in Monroe, LA by specialty
• Audiologist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.