Individual
MS. LAUREN RUSSELL NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3555 E FRY BLVD, SIERRA VISTA, AZ 85635-2972
(520) 515-2790
Mailing address
548 CIBOLA WAY, SIERRA VISTA, AZ 85635-2142
(520) 458-5044
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
AZ
Other
Enumeration date
11/29/2006
Last updated
07/08/2007
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