Individual
MRS. MELANIE JO LORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1715 BRIAR CIR, BOWLING GREEN, KY 42103-6222
(270) 535-3607
Mailing address
1715 BRIAR CIR, BOWLING GREEN, KY 42103-6222
(270) 535-3607
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1044
KY
Other
Enumeration date
11/27/2006
Last updated
05/26/2020
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