Individual
LISA CARROLL OSBORNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
1271 BEAUFORT RD, SOUTHPORT, NC 28461-7869
(910) 470-9665
Mailing address
P.O. BOX 1288, 580 FARRINGDOM STREET, LUMBERTON, NC 28359
(910) 671-9629
(910) 671-9630
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
9364
NC
Other
Enumeration date
09/15/2011
Last updated
10/13/2015
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