Lisa Bonahoom
NPI #1962690172 in Albuquerque, New Mexico
Provider Information
- NPI Number
- 1962690172
- Entity Type
- Individual
- Name
- Lisa Bonahoom
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- Oct 12, 2007
- Last Updated
- Oct 12, 2007
Practice Location
- Address
- 5200 COPPER AVE NE
- City
- Albuquerque
- State
- New Mexico
- ZIP Code
- 87108-1473
- Phone
- (505) 255-5099
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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