Individual
MRS. LISA MARIE YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MACCCA
Contact information
Practice address
1925 MOUNTAIN VIEW AVE, LONGMONT, CO 80501-3128
(303) 776-1234
(720) 494-3107
Mailing address
1925 MOUNTAIN VIEW AVE, LONGMONT, CO 80501-3128
(303) 776-1234
(720) 494-3107
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
297
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39439534
—
CO
Enumeration date
09/07/2006
Last updated
02/10/2015
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