| Doctor Name: | LISA CAROLINE PREDMORE |
| NPI Number: | 1043290190 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | AU.D. |
| License Number: | 001204 |
| Business Practice Address: | 1165 Northern Blvd Suite 302 Manhasset, NY - 110303048 |
| Business Phone Number: | 5166277600 |
| Business Fax Number: | 5166276378 |
| Mailing Address: | 1165 Northern Blvd, Suite 302 MANHASSET |
| State: | NY |
| Postal Code: | 110303048 |
| Phone Number: | 5166277600 |
| Fax Number: | 5166276378 |
| NPI Enumeration Date: | 01/17/2006 |
| NPI Last Update Date: | 07/15/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332S00000X |
| License Number: | 001204 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Hearing Aid Equipment |
| Taxonomy Specialization: | |
| Taxonomy Definition: | The manufacture and/or sale of electronic hearing aids, their component parts, and related products and services on a national basis. |