Mrs Lisa Marie Young, MACCCA | |
1925 Mountain View Ave, Longmont, CO 80501-3128 | |
(303) 776-1234 | |
(720) 494-3107 |
Full Name | Mrs Lisa Marie Young |
---|---|
Gender | Female |
Speciality | Qualified Audiologist |
Experience | 15 Years |
Location | 1925 Mountain View Ave, Longmont, Colorado |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326141730 | NPI | - | NPPES |
39439534 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
231H00000X | Audiologist | 297 (Colorado) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Poudre Valley Medical Group Llc | 9638208549 | 1607 |
Provider Name | Poudre Valley Medical Group Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1366763260 PECOS PAC ID: 9638208549 Enrollment ID: O20100602000122 |
Mailing Address | Practice Location Address |
---|---|
Mrs Lisa Marie Young, MACCCA 1925 Mountain View Ave, Longmont, CO 80501-3128 Ph: (303) 776-1234 | Mrs Lisa Marie Young, MACCCA 1925 Mountain View Ave, Longmont, CO 80501-3128 Ph: (303) 776-1234 |
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