Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Larissa Renee Bannon

Individual provider Audiologist · NPI 1174200851

Larissa Renee Bannon is a Qualified Audiologist in Allentown, Pennsylvania. Graduated from Vanderbilt University School of Medicine in 2023, 3 years ago. Practices with Lehigh Valley Physician Group, a 2,493-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Pennsylvania and Tennessee.

Years since qualifying
3
Trained at
Vanderbilt University School of Medicine
Licensed in
PA, TN
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

1575 Pond Rd Ste 203
Allentown, PA 18104-2254
Phone: (610) 366-1366
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1215 21st Ave S Fl 6-10, Nashville, TN 37232-0014 — (615) 936-5000
  • 3601 The Vanderbilt Clinic, Nashville, TN 37232-0014 — (615) 322-5000

Specialties & licences

Audiologist (primary) Taxonomy 231H00000X · Licence AT007075 (PA)
Audiologist Taxonomy 231H00000X · Licence 2109 (TN)

Record details

NPI number1174200851
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 3, 2023
Last updated in NPPESDecember 3, 2025
Certification dateDecember 3, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED AUDIOLOGIST
Medical schoolVANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Graduated 2023 (3 years in practice)
Group practice Lehigh Valley Physician Group — 2493 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Allentown