Basic Information
| Provider Information | |||||||||
| NPI: | 1487953410 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | VINSON | ||||||||
| FirstName: | LUCY | ||||||||
| MiddleName: | P | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1233 N 18TH ST | ||||||||
| Address2: | |||||||||
| City: | ABILENE | ||||||||
| State: | TX | ||||||||
| PostalCode: | 796012932 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3254373687 | ||||||||
| FaxNumber: | 3254371827 | ||||||||
| Practice Location | |||||||||
| Address1: | 1233 N 18TH ST | ||||||||
| Address2: | |||||||||
| City: | ABILENE | ||||||||
| State: | TX | ||||||||
| PostalCode: | 796012932 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3254373687 | ||||||||
| FaxNumber: | 3254371827 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/16/2011 | ||||||||
| LastUpdateDate: | 02/21/2012 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 237700000X | 80431 | TX | Y | Speech, Language and Hearing Service Providers | Hearing Instrument Specialist |
No ID Information.