Individual
LYNN RUSSO
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
SLPCCC
Contact information
Practice address
5006 COPPER NE, EXPLORABILITIES, ALBUQUERQUE, NM 87108
(505) 268-7988
(505) 268-8021
Mailing address
1205 GROVE ST NE, ALBUQUERQUE, NM 87110
(505) 232-6833
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1033
NM
Other
Enumeration date
01/30/2006
Last updated
07/08/2007
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