Individual
MRS. LISA LYNN BUNTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Contact information
Practice address
505 S MAIN ST, LAS CRUCES, NM 88001-1206
(575) 527-5823
Mailing address
505 S MAIN ST STE 249, LAS CRUCES, NM 88001-1243
(575) 527-5823
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
22004114A
IN
235Z00000X
Speech-Language Pathologist
Primary
SLP7719
NM
Other
Enumeration date
04/05/2007
Last updated
07/20/2022
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