Individual
LARISSA LEE-LUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 BLACKHAWK CT, PRINCETON JUNCTION, NJ 08550-3112
(609) 651-1117
Mailing address
1 BLACKHAWK CT, PRINCETON JUNCTION, NJ 08550-3112
(609) 651-1117
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00954700
NJ
Other
Enumeration date
05/17/2022
Last updated
05/17/2022
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