Individual
LISA B QUEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
790 SE CARY PKWY STE 110, CARY, NC 27511-5678
(919) 784-7400
Mailing address
790 SE CARY PKWY STE 110, CARY, NC 27511-5678
(919) 784-7400
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3170
NC
Other
Enumeration date
05/02/2007
Last updated
01/16/2019
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