Young, Lisa Marie

Young, Lisa Marie is an individual health care provider with primary practice located at 1925 Mountain View Ave , Longmont CO 80501-3128. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Young, Lisa Marie can be contacted via phone (303) 776-1234.

Contact Information

Primary practice address
1925 Mountain View Ave Longmont CO 80501-3128
Phone: (303) 776-1234
Fax: (720) 494-3107
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 297 Colorado

Profile Details

NPI number 1326141730
LBN Legal business name Young, Lisa Marie
Credentials MACCCA
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2006
Last updated Feb 10th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326141730 NPPES
Colorado MEDICAID 39439534

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