Individual
MARION LAURITZEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
800 ODELIA RD NE, ALBUQUERQUE HS, ALBUQUERQUE, NM 87102-1619
(505) 843-6400
Mailing address
800 ODELIA RD NE, ALBUQUERQUE HS, ALBUQUERQUE, NM 87102-1619
(505) 843-6400
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3740
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2383331
—
NM
Enumeration date
02/06/2007
Last updated
07/09/2007
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