Individual
LAUREN CERONIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
1300 CAMINO SIERRA VISTA ANNEX, SANTA FE, NM 87505
(505) 467-2504
Mailing address
610 ALTA VISTA ST, SANTA FE, NM 87505-4149
(505) 467-2504
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SAH-2026-0067
NM
Other
Enumeration date
08/06/2026
Last updated
08/06/2026
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