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NPI Code Detail

MEDICARE: MRS. LORI E PAUL CCC-SLP

MEDICARE: MRS. LORI E PAUL CCC-SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist3436NM

General Provider Information

NPI Number : 1760510812
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LORI E PAUL CCC-SLP
Provider Business Mailing Address
First Line : 6800 DEERBOURNE RD NW
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87114-3932
Country : US
Telephone Number : 505-898-9571
Fax Number :
Provider Business Practice Location Address
First Line : 500 LASER DR NE
Second Line :
City : RIO RANCHO
State : NM
Zip : 87124-4517
Country : US
Telephone Number : 505-896-0667
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/01/2007
Last Update Date : 07/08/2007

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Directions to “ MRS. LORI E PAUL CCC-SLP” Practice Location

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