LEE SUPITILOV NPI 1174058606

NPI Information

  • NPI: 1174058606
  • Provider Name: LEE SUPITILOV
  • Classification: Hearing Instrument Specialist - 237700000X
  • Entity Type: Individual
  • Address: 3797 OSAGE BEACH PKWY
    OSAGE BEACH, MO
    ZIP 65065
  • Phone: (573) 302-0340

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NPI Details

Lee Supitilov is a hearing instrument specialist in Osage Beach, MO. The provider is 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 Lee Supitilov NPI is 1174058606. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3797 OSAGE BEACH PKWY
OSAGE BEACH, MO
ZIP 65065-186
Phone: (573) 302-0340
Fax: (573) 302-0393

The enumeration date for this NPI number is 4/21/2017 and was last updated on 4/21/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1237700000XHearing Instrument Specialist2016039127MISSOURIYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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