Individual
DIANE EDITH LORSONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
14299 BENEDICTINE LN, RIDGELY, MD 21660-1434
(410) 634-2112
Mailing address
121 SHEAFFER RD, CHESTERTOWN, MD 21620-2040
(410) 279-7194
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
05352
MD
Other
Enumeration date
10/04/2006
Last updated
02/23/2021
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