Individual
ELIZABETH LAUREN WINTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
27 LEYBA RD, RANCHOS DE TAOS, NM 87557-8701
(575) 562-2156
Mailing address
PO BOX 47, RANCHOS DE TAOS, NM 87557-0047
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SAH-2024-0245
NM
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/25/2019
Last updated
12/17/2024
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