Individual
LAUREN LYON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
555 AMORY STREET, JAMAICA PLAIN, MA 02130
(617) 383-6522
Mailing address
555 AMORY ST, JAMAICA PLAIN, MA 02130-2652
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
76643-SP-SL
MA
Other
Enumeration date
08/07/2017
Last updated
08/07/2017
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