Individual
LESLIE L. LORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
4502 MILWAUKEE ST, MADISON, WI 53714-2133
(608) 249-2137
Mailing address
5405 DORSETT DR, MADISON, WI 53711-3501
(608) 345-1067
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2969-154
WI
Other
Enumeration date
06/24/2010
Last updated
06/24/2010
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