Individual
LACEY LEE ELIZABETH RUPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
2018 ROCK SPRING RD, FOREST HILL, MD 21050-2631
(443) 619-7712
Mailing address
5726 FIELDCREST DR, WHITE MARSH, MD 21162-1143
(443) 623-5950
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
02666
MD
Other
Enumeration date
06/05/2023
Last updated
06/05/2023
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