Individual
DR. MARY LOU CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D
Contact information
Practice address
290 CENTRAL AVE, SUITE 116, LAWRENCE, NY 11559-8507
(516) 239-6400
(516) 239-6434
Mailing address
290 CENTRAL AVE, SUITE 116, LAWRENCE, NY 11559-8507
(516) 239-6400
(516) 239-6434
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
1026
NY
Other
Enumeration date
11/17/2005
Last updated
09/24/2010
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