Jeffery Lane JR., AU.D.

NPI #1104318997 in Flagstaff, Arizona

Provider Information

NPI Number: 1104318997
Entity Type: Individual
Name: Jeffery Lane JR., AU.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Audiologist
Credential: AU.D.
Enumeration Date: Jun 6, 2018
Last Updated: Jun 6, 2018

Practice Location

Address: 1330 N RIM DR STE B
City: Flagstaff
State: Arizona
ZIP Code: 86001-3138
Phone: (928) 522-0500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Audiologist	231H00000X	Primary

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