Payton Hunter Lack, AUD

NPI #1043901390 in Greensboro, Georgia

Provider Information

NPI Number
1043901390
Entity Type
Individual
Name
Payton Hunter Lack, AUD
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Audiologist
Credential
AUD
Enumeration Date
May 17, 2023
Last Updated
May 17, 2023

Practice Location

Address
1051 PARKSIDE CMNS STE 103
State
Georgia
ZIP Code
30642-4517
Phone
(706) 623-4425

Specialties & Taxonomy Codes

Specialty
Audiologist

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