Organization
PROFESSIONAL NEUROLOGICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACEY E LANHAM MA, CNIM, DABNM (MANAGING MEMBER)
(303) 829-6753
Entity
Organization
Contact information
Practice address
1026 E 6TH CIR, BROOMFIELD, CO 80020-1502
(303) 829-6753
(303) 781-2779
Mailing address
1026 E 6TH CIR, BROOMFIELD, CO 80020-1502
(303) 829-6753
(303) 781-2779
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
—
—
Other
Enumeration date
09/01/2011
Last updated
09/01/2011
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