Individual
TRACEY E LANHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-A
Contact information
Practice address
13547 W EXPOSITION DR, LAKEWOOD, CO 80228-3041
(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
314
CO
Other
Enumeration date
03/23/2007
Last updated
07/08/2007
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