Organization
COLONIAL CENTER FOR HEARING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LUCIA LIPTAKOVA (OFFICE MANAGER)
(757) 229-4004
Entity
Organization
Contact information
Practice address
430 MCLAWS CIR, STE 101, WILLIAMSBURG, VA 23185-5655
(757) 229-4004
(757) 229-9992
Mailing address
430 MCLAWS CIR, STE 101, WILLIAMSBURG, VA 23185-5655
(757) 229-4004
(757) 229-9992
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
169589
ANTHEM
VA
Enumeration date
02/06/2008
Last updated
05/06/2015
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