Provider Demographics
NPI:1831144344
Name:LENSGRAF-LANDERS, DENISE FREE (AUD)
Entity Type:Individual
Prefix:DR
First Name:DENISE
Middle Name:FREE
Last Name:LENSGRAF-LANDERS
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:DR
Other - First Name:DENISE
Other - Middle Name:FREE
Other - Last Name:LENSGRAF
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AUD
Mailing Address - Street 1:609 SCOTTWOODS DR
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:AL
Mailing Address - Zip Code:36830-5219
Mailing Address - Country:US
Mailing Address - Phone:334-725-3060
Mailing Address - Fax:334-725-3226
Practice Address - Street 1:CAVHCS AUDIOLOGY (117)
Practice Address - Street 2:2400 HOSPITAL ROAD
Practice Address - City:TUSKEGEE
Practice Address - State:AL
Practice Address - Zip Code:36083
Practice Address - Country:US
Practice Address - Phone:334-725-3060
Practice Address - Fax:334-725-3226
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL980A231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist