| Nicole Marie Lilly, AUD | |
|
320 E 1st Ave Ste 102, Broomfield, CO 80020-3786 | |
| (303) 464-8440 | |
| Not Available |
| Full Name | Nicole Marie Lilly |
|---|---|
| Gender | Female |
| Speciality | Qualified Audiologist |
| Experience | 13 Years |
| Location | 320 E 1st Ave Ste 102, Broomfield, Colorado |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518228808 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 231H00000X | Audiologist | 689 (Colorado) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Colorado Ear Care Llc | 1153746466 | 10 |
| Provider Name | Colorado Ear Care Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1306461199 PECOS PAC ID: 1153746466 Enrollment ID: O20200804001657 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Marie Lilly, AUD 320 E 1st Ave Ste 102, Broomfield, CO 80020-3786 Ph: (303) 464-8440 | Nicole Marie Lilly, AUD 320 E 1st Ave Ste 102, Broomfield, CO 80020-3786 Ph: (303) 464-8440 |
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