Individual
LAURYN LYN WAITS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CFY-SLP
Contact information
Practice address
450 SOUTHERN BLVD SE, RIO RANCHO, NM 87124-3206
(505) 994-3305
(505) 994-3316
Mailing address
450 SOUTHERN BLVD SE, RIO RANCHO, NM 87124-3206
(505) 994-3305
(505) 994-3316
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
C-5584
NM
Other
Enumeration date
08/21/2014
Last updated
08/21/2014
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