Individual
MISS MADELINE GRACE LASKI I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CF-SLP
Contact information
Practice address
343 MAIN ST NW, LOS LUNAS, NM 87031-8712
(505) 866-8343
Mailing address
343 MAIN ST NW, LOS LUNAS, NM 87031-8712
(505) 866-8343
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
C-5868
NM
Other
Enumeration date
01/11/2016
Last updated
01/11/2016
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