Individual
MCKENZIE LUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
752 N HIGH POINT RD, MADISON, WI 53717-2236
(608) 824-4000
(608) 824-4868
Mailing address
752 N HIGH POINT RD, MADISON, WI 53717-2236
(608) 824-4000
(608) 824-4868
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
1060
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1558105221
—
WI
Enumeration date
06/19/2024
Last updated
07/03/2024
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