Lisa Claire Cannon, MS CCC A

NPI #1801965959 in Clovis, New Mexico

Provider Information

NPI Number: 1801965959
Entity Type: Individual
Name: Lisa Claire Cannon, MS CCC A
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Audiologist
Credential: MS CCC A
Enumeration Date: Nov 6, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1600 SUTTER PL
City: Clovis
State: New Mexico
ZIP Code: 88101-4611
Phone: (505) 769-4490

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Audiologist	231H00000X	Primary

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