Most Relevant Information
Provider Data
| NPI Number: | 1003829870 |
| Provider Name: | LAWRENCE D BRETHOWER SCD, BC-HIS |
| Entity Type: | Individual |
| Taxonomy Code: | 237700000X |
| Specialty: | Hearing Instrument Specialist |
| License Number: | 000421 |
Most Important Dates
| Enumeration Date: | 08/14/2006 |
| Last Updated: | 03/30/2020 |
Provider Practice Location
628 E COMMERCIAL
SPRINGFIELD
MO
65803
Practice Location Phone/Fax
| Phone: | 4178696550 |
| Fax: | 4178699437 |
Provider Mailing Location
628 E COMMERCIAL
SPRINGFIELD
MO
65803
Provider Mailing Phone/Fax
| Phone: | 4178696550 |
| Fax: | 4178699437 |