MEDICARE: LENA MASRI

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
1	235Z00000X	Speech-Language Pathologist

General Provider Information

NPI Number	:	1942079520
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LENA MASRI

Provider Business Mailing Address
First Line	:	2490 W JAMISON WAY
Second Line	:
City	:	LITTLETON
State	:	CO
Zip	:	80120-3943
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2490 W JAMISON WAY
Second Line	:
City	:	LITTLETON
State	:	CO
Zip	:	80120-3943
Country	:	US
Telephone Number	:	717-673-6489
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/25/2023
Last Update Date	:	12/25/2023

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Directions to “ LENA MASRI ” Practice Location

Language	Start Address	Practice Location

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