Individual
MADISON GAGE LANCASTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2627 N 3RD ST STE 201, PHOENIX, AZ 85004-1194
(602) 307-9919
Mailing address
6035 FAIRVIEW RD, CHARLOTTE, NC 28210-3256
(704) 295-3000
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
14440620
NC
Other
Enumeration date
02/23/2022
Last updated
10/10/2022
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