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Individual

MISS LISA A. BABCOCK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS

Contact information

Practice address
11223 N. LAKESHORE DR., BLAIR, NE 68008
(402) 346-8800
Mailing address
11223 N. LAKESHORE DRIVE, BLAIR, NE 68008
(402) 346-8800

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
224
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
224
AUDIOLOGY LICENSE
NE
Enumeration date
08/30/2006
Last updated
07/08/2008
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