Doctor Name: | MRS. LISA MARIE BUETTNER |
NPI Number: | 1033583125 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | IDPH #3076 |
License Number: | 3076 |
Business Practice Address: | 2508 Court St Pekin, IL - 615545481 |
Business Phone Number: | 3093465323 |
Business Fax Number: | 3093465410 |
Mailing Address: | 2508 Court St, PEKIN |
State: | IL |
Postal Code: | 615545481 |
Phone Number: | 3093465323 |
Fax Number: | 3093465410 |
NPI Enumeration Date: | 11/30/2015 |
NPI Last Update Date: | 11/30/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 237700000X |
License Number: | 3076 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Hearing Instrument Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | Individuals who test hearing for the selection, adaptation, fitting, adjusting, servicing, and sale of hearing aids. Hearing Instrument Specialist is a designation provided individuals who qualify by the National Hearing Aid Society |