Provider Demographics
NPI:1982931200
Name:LUNNEY, ANDREA MARIE (MSED)
Entity Type:Individual
Prefix:MS
First Name:ANDREA
Middle Name:MARIE
Last Name:LUNNEY
Suffix:
Gender:F
Credentials:MSED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2939 BIXBY CT
Mailing Address - Street 2:
Mailing Address - City:CASTLE ROCK
Mailing Address - State:CO
Mailing Address - Zip Code:80109-3576
Mailing Address - Country:US
Mailing Address - Phone:303-503-3085
Mailing Address - Fax:
Practice Address - Street 1:9116 W BOWLES AVE STE 5
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80123-3476
Practice Address - Country:US
Practice Address - Phone:303-904-3277
Practice Address - Fax:303-904-4370
Is Sole Proprietor?:No
Enumeration Date:2009-11-06
Last Update Date:2014-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO151237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist