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1003198623
LISA LANE
FOREST HILLS, NY
NPI
1003198623
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
Enumeration Date
2011-09-10
Last Update Date
2019-06-06
Business Address
LISA LANE
6701 110TH ST
FOREST HILLS, NY 11375-2378
Phone number: 718-268-3137
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Mailing Address
LISA LANE
298 BROMPTON RD S
GARDEN CITY, NY 11530-5417
Phone number:
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