Provider Demographics
NPI:1174676134
Name:LEFKOWITZ, NANCY GAIL (MS)
Entity Type:Individual
Prefix:MS
First Name:NANCY
Middle Name:GAIL
Last Name:LEFKOWITZ
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13 MICHAELS GRN
Mailing Address - Street 2:
Mailing Address - City:WOBURN
Mailing Address - State:MA
Mailing Address - Zip Code:01801-5378
Mailing Address - Country:US
Mailing Address - Phone:781-932-9216
Mailing Address - Fax:
Practice Address - Street 1:13 MICHAELS GRN
Practice Address - Street 2:
Practice Address - City:WOBURN
Practice Address - State:MA
Practice Address - Zip Code:01801-5378
Practice Address - Country:US
Practice Address - Phone:781-932-9216
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA821235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist