Individual
DR. MARNI LISA NOVICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
340 DARDANELLI LN, SUITE 22A, LOS GATOS, CA 95032-1418
(408) 540-7128
(408) 599-3013
Mailing address
340 DARDANELLI LN, STE. 22A, LOS GATOS, CA 95032-1418
(408) 540-7128
(405) 599-3013
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AU2085
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CA119896
MEDICARE PTAN
CA
Enumeration date
06/26/2006
Last updated
11/26/2017
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