Individual
MRS. MELISSA ADEL LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
4101 MONTREAL LOOP NE, RIO RANCHO, NM 87144-8455
(505) 867-0711
Mailing address
5040 COYOTE CT NE, RIO RANCHO, NM 87144-0880
(505) 771-1327
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1337A
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
J0538
—
NM
Enumeration date
03/07/2007
Last updated
07/08/2007
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