Individual
LISA SMITH KURKJIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1337 GUSDORF RD STE G, TAOS, NM 87571-6297
(575) 758-4337
Mailing address
PO BOX 1371, RANCHOS DE TAOS, NM 87557-1371
(575) 613-3085
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
CF6785
NM
235Z00000X
Speech-Language Pathologist
Primary
SLP7686
NM
Other
Enumeration date
07/10/2019
Last updated
01/24/2023
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