Healthcare Provider Details

I. General information

NPI: 1053494088
Provider Name (Legal Business Name): RACHEL GABRIEL LINGNAU AUD CCCA FAAA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/23/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2909 NORTH PRINCE STREET STE 1
CLOVIS NM
88101
US

IV. Provider business mailing address

5303 50TH STREET
LUBBOCK TX
79414
US

V. Phone/Fax

Practice location:
  • Phone: 505-762-5355
  • Fax: 505-762-1999
Mailing address:
  • Phone: 806-799-8950
  • Fax: 806-792-9404

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number51650
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: