Lori Lynn Anderson, HIS
Individual provider Active NPI Hearing Instrument Specialist · Ashland, WI
NPI 1982200192 · NPPES record last updated Jul 7, 2022
Key facts
- NPI
- 1982200192
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Hearing Instrument Specialist 237700000X
- License
- 1626-60 (WI)
- Practice address
- 1901 Beaser Ave
Ashland, WI 54806-3604 - Phone
- (715) 682-9311
- Fax
- (715) 682-9313
- NPI assigned
- Dec 11, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1626-60 | WI | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amy Jacobson LLC | Hearing Instrument Specialist | Current |
Accepting new patients |
Locations
2101 Beaser Ave
Ste 3
Ashland, WI 54806
Phone (715) 682-9311
1901 Beaser Ave
Ashland, WI 54806
Phone (715) 682-9311
11040 N State Road 77
Hayward, WI 54843
Phone (715) 934-4244
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | 1626-60 | WI | Yes |
Addresses
Primary practice location
1901 Beaser Ave
Ashland, WI 54806-3604
Mailing address
1901 Beaser Avenue
Ashland, WI 54806-3604
Phone (715) 682-9311
Other practice location 1
11040 N State Rd 77
Hayward, WI 54843-3606
Phone (715) 682-9311
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100141440 | Medicaid | WI |
Other names
- Lori Lynn Landry
Other providers in Ashland, WI
- Elvis Amandoh
- Amy Jacobson LLC
- Geneva Anderson
- Ila Anderson
- Jane Wiedmeyer Anderson
- Mary Ann Anderson
- Seija Beth Anderson
- Ashland Area Council on Alcoholism and Other Drug Abuse, Inc.
- Ashland Audiology LLC
- Ashland Dental Clinic Inc
All providers in Ashland, WI · Hearing Instrument Specialist in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 7, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.