Individual
LYDIA MACGREGOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1130 COLLINS RD, JEFFERSON, WI 53549-2939
(920) 674-3170
Mailing address
1130 COLLINS RD, JEFFERSON, WI 53549-2939
(920) 674-3170
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5398-154
WI
Other
Enumeration date
01/23/2022
Last updated
01/23/2022
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