Individual
LISA A MADISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
9961 SIERRA AVE, FONTANA, CA 92335-6720
(909) 427-3910
(909) 427-5285
Mailing address
9961 SIERRA AVE, FONTANA, CA 92335-6720
(909) 427-3910
(909) 427-5285
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AU788
CA
Other
Enumeration date
03/21/2007
Last updated
02/11/2014
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