Organization
HEARING HEALTH CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN A LIONBARGER AUD (OWNER)
(505) 323-7373
Entity
Organization
Contact information
Practice address
5203 JUAN TABO BLVD NE STE 1F, ALBUQUERQUE, NM 87111-2683
(505) 323-7373
(505) 323-2668
Mailing address
5203 JUAN TABO BLVD NE STE 1F, ALBUQUERQUE, NM 87111-2683
(505) 323-7373
(505) 323-2668
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
525
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
201079564
PRESBYTERIAL HEALTH
—
05
—
K2423
—
NM
01
—
NM 00E119
BLUE CROSS BLUE SHIELD
—
Enumeration date
12/22/2005
Last updated
11/01/2010
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