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Individual

ALYSSA LORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S.

Contact information

Practice address
2211 LOMAS BLVD. NE, SLS CENTER - 3RD FLOOR, ALBUQUERQUE, NM 87102
(505) 272-0777
Mailing address
5741 OSUNA RD NE, APT 708, ALBUQUERQUE, NM 87109-2567
(617) 759-2918

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
C-5655
NM

Other

Enumeration date
04/29/2015
Last updated
04/29/2015
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