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NPI Code Detail

MEDICARE: DR. ANN LYNN RAABE AUD, CCC-A

MEDICARE: DR. ANN LYNN RAABE AUD, CCC-A
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1231H00000XAudiologist104-156WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1558367128
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANN LYNN RAABE AUD, CCC-A
Provider Business Mailing Address
First Line : 601 INDIAN MOUND RD
Second Line :
City : NEW LISBON
State : WI
Zip : 53950-1526
Country : US
Telephone Number : 608-562-5535
Fax Number :
Provider Business Practice Location Address
First Line : HESS MEMORIAL HOSPITAL
Second Line : 1050 DIVISION ST.
City : MAUSTON
State : WI
Zip : 53948-1931
Country : US
Telephone Number : 608-847-1414
Fax Number : 608-847-6452
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/28/2005
Last Update Date : 07/08/2013

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