Organization
LISA A PULSIPHER AUD LLC
Active
Other names
East Mountain Hearing & Balance
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA ANN PULSIPHER AU.D. (MANAGING MEMBER)
(505) 217-0912
Entity
Organization
Contact information
Practice address
7007 WYOMING BLVD NE STE B4, ALBUQUERQUE, NM 87109-3982
(505) 217-0912
(505) 217-0913
Mailing address
7007 WYOMING BLVD NE STE B4, ALBUQUERQUE, NM 87109-3982
(505) 217-0912
(505) 217-0913
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
5267
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1104179423
PROVIDER NPI
NM
05
—
95130039
—
NM
Enumeration date
04/14/2015
Last updated
04/14/2015
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