Individual
LISA RAKUSIN GOLDBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-A
Contact information
Practice address
3705 MEDICAL PKWY STE 320, AUSTIN, TX 78705-1023
(512) 454-0392
(512) 454-6019
Mailing address
3705 MEDICAL PKWY STE 200, AUSTIN, TX 78705-1027
(512) 452-0231
(512) 454-6019
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
80073
TX
Other
Enumeration date
04/12/2006
Last updated
04/30/2009
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