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Lee Supitilov
Hearing Instrument Specialist in Osage Beach, Missouri
NPI 1174058606

Lee Supitilov is a Hearing Instrument Specialist based in Osage Beach, MO. Lee Supitilov practices in Osage Beach, MO. The NPI Number for Lee Supitilov is 1174058606 and holds a License No. 2016039127 (Missouri).

The current practice location address for Lee Supitilov is 3797 Osage Beach Pkwy, Osage Beach, MO and can be reached out via phone at 573-302-0340 and via fax at 573-302-0393.

Location: 3797 Osage Beach Pkwy, Osage Beach, MO, 65065-2186
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174058606
Provider Name
Lee Supitilov
Credential
Provider Entity Type
Individual
Gender
Male
Address
3797 Osage Beach Pkwy, Osage Beach, MO, 65065-2186
Phone Number
573-302-0340
Fax Number
573-302-0393
Provider Enumeration Date
04/21/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3797 Osage Beach Pkwy
City
Osage Beach
State
Missouri
Zip
65065-2186
Phone Number
573-302-0340
Fax Number
573-302-0393
person
Provider Business Mailing Address Details
Address
3797 Osage Beach Pkwy
City
Osage Beach
State
Missouri
Zip
65065-2186
Phone Number
573-302-0340
Fax Number
573-302-0393
person
Provider's Taxonomy Details 1
Type
Speech, Language and Hearing Service Providers
Classification
Hearing Instrument Specialist
Speciality
-
Taxonomy
237700000X
License No.
2016039127 (Missouri)
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
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