Lisa Claire Cannon, MS CCC A is a
Audiologist based in Clovis, New Mexico. Lisa Claire Cannon is licensed to practice in New Mexico (license number 2459) and her current practice location is
1600 Sutter Pl, Clovis, New Mexico. She can be reached at her office (for appointments etc.) via phone at
(505) 769-4490.
NPI number for Lisa Claire Cannon is 1801965959 and her current mailing address is 1427 Colonial Pkwy, Clovis, New Mexico. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1801965959.
Healthcare Provider's Profile
Full Name | Lisa Claire Cannon |
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Gender | Female |
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Speciality | Audiologist |
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Location | 1600 Sutter Pl, Clovis, New Mexico |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1801965959
- Provider Enumeration Date: 11/06/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Lisa Claire Cannon such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1801965959 | NPI | - | NPPES |
000Z7838 | Medicaid | NM | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
231H00000X | Audiologist | 2459 (New Mexico) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lisa Claire Cannon is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Lisa Claire Cannon, MS CCC A 1427 Colonial Pkwy, Clovis, NM 88101-3107 Ph: (505) 742-1976 | Lisa Claire Cannon, MS CCC A 1600 Sutter Pl, Clovis, NM 88101-4611 Ph: (505) 769-4490 |
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