Individual
LORI ANN NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC SLP
Contact information
Practice address
9616 BOLACK DR NE, ALBUQUERQUE, NM 87109-6352
(505) 828-0990
(505) 797-0211
Mailing address
9616 BOLACK DR NE, ALBUQUERQUE, NM 87109-6352
(505) 828-0990
(505) 797-0211
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3534
NM
Other
Enumeration date
09/28/2006
Last updated
03/28/2009
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