Individual
SANDRA LYNN JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D., CCC-A
Contact information
Practice address
280 EXEMPLA CIR, LAFAYETTE, CO 80026-3370
(303) 338-4545
Mailing address
280 EXEMPLA CIR, LAFAYETTE, CO 80026-3370
(303) 338-4545
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
566
CO
237600000X
Audiologist-Hearing Aid Fitter
566
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
026765
KAISER COMMERCIAL NUMBER
CO
05
—
39435270
—
CO
Enumeration date
05/22/2009
Last updated
09/22/2015
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