Organization
LISA B. LANDSKRONER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LISA BETH LANDSKRONER M.S., CCC-SLP (SPEECH-LANGUAGE PATHOLOGIST)
(732) 598-9186
Entity
Organization
Contact information
Practice address
2311 CRYSTAL MILE CT, TOMS RIVER, NJ 08755-1464
(732) 598-9186
Mailing address
2311 CRYSTAL MILE COURT, TOMS RIVER, NJ 08755-1464
(732) 598-9186
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
014964-1
NY
Other
Enumeration date
04/29/2016
Last updated
04/29/2016
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