NPI 1104596519 · live from the CMS NPI Registry
Bailee Lass Dungan, AuD
Audiologist in Bismarck, ND. National Provider Identifier 1104596519, active.
NPI record
| NPI | 1104596519 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Audiologist 231H00000X |
| Practice location | 701 E Rosser Ave, Bismarck, ND 58501 |
| Practice phone | 701-323-8921 |
| Mailing address | Po Box 5074, Sioux Falls, SD 57117 |
| Enumerated | September 16, 2021 |
| Last updated | March 28, 2022 |
| Sole proprietor | No |
| Other names | Bailee Lass |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Audiologist primary | 231H00000X | 1989 (ND) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.