Provider Demographics
NPI:1235430430
Name:CRISTOBAL, ALICIA LEHNES (AUD)
Entity Type:Individual
Prefix:DR
First Name:ALICIA
Middle Name:LEHNES
Last Name:CRISTOBAL
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1515 W NC HIGHWAY 54 STE 100
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27707-5575
Mailing Address - Country:US
Mailing Address - Phone:919-489-0995
Mailing Address - Fax:919-402-1955
Practice Address - Street 1:1515 W NC HIGHWAY 54 STE 100
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27707-5575
Practice Address - Country:US
Practice Address - Phone:919-489-0995
Practice Address - Fax:919-402-1955
Is Sole Proprietor?:No
Enumeration Date:2010-11-04
Last Update Date:2015-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9071231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist