Individual
TERRY LANE CUMMINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AU.D
Contact information
Practice address
108 DELMAR ST, STERLING, CO 80751-4138
(970) 522-8622
(970) 522-7700
Mailing address
108 DELMAR ST, STERLING, CO 80751-4138
(970) 522-8622
(970) 522-7700
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
107
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07106628
—
CO
01
—
CU01513
BLUE CROSS
CO
Enumeration date
12/12/2006
Last updated
12/07/2011
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