NPI 1356525356 · live from the CMS NPI Registry
Deborah Crocker
Audiologist in Lynnwood, WA. National Provider Identifier 1356525356, active.
NPI record
| NPI | 1356525356 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Audiologist 231H00000X |
| Practice location | 19720 68th Ave W, Suite C, Lynnwood, WA 98036 |
| Practice phone | 425-744-0891 |
| Mailing address | 5000 Cheshire Ln N, Plymouth, MN 55446 |
| Enumerated | December 27, 2007 |
| Last updated | December 27, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Audiologist primary | 231H00000X | LD00004185 (WA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.