Most Relevant Information
Provider Data
| NPI Number: | 1003532839 |
| Provider Name: | LISSETH CAROLINA SOSA |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | CF7958 |
Most Important Dates
| Enumeration Date: | 10/13/2022 |
| Last Updated: | 10/13/2022 |
Provider Practice Location
505 S MAIN ST STE 249
LAS CRUCES
NM
880011243
Practice Location Phone/Fax
| Phone: | 5755275884 |
| Fax: | 5755275886 |
Provider Mailing Location
505 S MAIN ST STE 249
LAS CRUCES
NM
880011243
Provider Mailing Phone/Fax
| Phone: | 5755275884 |
| Fax: | 5755275886 |