NPI 1104318997

Jeffery Lane, AUD

Practitioner Audiologist Flagstaff, AZ

Practice location

Address: 1330 N Rim Dr STE B, Flagstaff, AZ 86001-3138
Phone: (928) 522-0500
Fax: (855) 433-1122
Mailing address: 2700 S Woodlands Village Blvd STE 300-409, Flagstaff, AZ 86001-7114

Registered specialties

Audiologist Primary

Speech, Language and Hearing Service Providers Taxonomy 231H00000X

Other Audiologist providers in Arizona →

Registry record

NPI: 1104318997
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Jun 2018
Record last updated: 6 Jun 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.