Individual
DR. LEE MICKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
1008 N 7TH AVE, BOZEMAN, MT 59715-2567
(406) 586-0914
(406) 586-6667
Mailing address
1008 N 7TH AVE, BOZEMAN, MT 59715-2567
(406) 586-0914
(406) 586-6667
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
5
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0535444
—
MT
05
—
0569439
—
MT
Enumeration date
03/08/2007
Last updated
12/03/2007
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