Lezotte, Ginette Alicia

Lezotte, Ginette Alicia is an individual health care provider with primary practice located at 20239 Mack Avenue , Grosse Pointe Woods MI 48236-1769. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter, which is considered as her primary health care specialty. Lezotte, Ginette Alicia can be contacted via phone (313) 343-5555.

Contact Information

Primary practice address
20239 Mack Avenue Grosse Pointe Woods MI 48236-1769
Phone: (313) 343-5555
Fax: (313) 343-5304
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter 237600000X 1601000010 Michigan

Profile Details

NPI number 1124063615
LBN Legal business name Lezotte, Ginette Alicia
Credentials AUD
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2006
Last updated Apr 25th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124063615 NPPES
Michigan Other 540H214720 BCBSM
Michigan Other 126065 BCBSM
Michigan Other 202114 BCBSM
Michigan MEDICAID 804683505 BCBSM
Michigan MEDICAID 904396202 BCBSM
Michigan Other 0N49120 BCBSM
Michigan Other 640H227080 BCBSM

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