Healthcare Provider Details

I. General information

NPI: 1407081029
Provider Name (Legal Business Name): MARGAUX Y COLBURN AU.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MARGAUX LEMBER AU.D. FAAA

II. Dates (important events)

Enumeration Date: 05/27/2009
Last Update Date: 09/21/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8015 SHOAL CREEK BLVD STE 122
AUSTIN TX
78757-8066
US

IV. Provider business mailing address

215 SHUMAN BLVD STE 401
NAPERVILLE IL
60563-8458
US

V. Phone/Fax

Practice location:
  • Phone: 512-600-8090
  • Fax: 512-600-8091
Mailing address:
  • Phone: 630-303-5380
  • Fax: 978-313-6824

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number80172
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number80172
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: