Most Relevant Information
Provider Data
| NPI Number: | 1003032772 |
| Provider Name: | JULIE K VANAUSDAL M.S. CCC-A |
| Entity Type: | Individual |
| Taxonomy Code: | 231H00000X |
| Specialty: | Audiologist |
| License Number: | LD00001726 |
Most Important Dates
| Enumeration Date: | 04/18/2007 |
| Last Updated: | 03/17/2017 |
Provider Practice Location
4444 LACEY BLVD SE
SUITE A
LACEY
WA
985035730
Practice Location Phone/Fax
| Phone: | 3605282020 |
| Fax: |
Provider Mailing Location
4444 LACEY BLVD SE
SUITE A
LACEY
WA
985035730
Provider Mailing Phone/Fax
| Phone: | 3605282020 |
| Fax: |