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Individual

MISS LEE ANN LIZZUL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S, CCC-A

Contact information

Practice address
5014 EL CAMINO DR STE 200, COLORADO SPRINGS, CO 80918-2104
(719) 633-4100
(719) 358-5299
Mailing address
5014 EL CAMINO DR STE 200, COLORADO SPRINGS, CO 80918-2104
(719) 633-4100
(719) 358-5299

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
90
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01025654
ASHA
01
90
CO AUDIOLOGY LICENCE
CO
Enumeration date
08/30/2005
Last updated
08/26/2015
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