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Individual
LANA F EGGLESTON
Active
Individual
LANA F EGGLESTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA,CCC-SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
3017
TN
235Z00000X
Speech-Language Pathologist
Primary
SP #2623
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3017
12102102 CCC-NATIONAL LIC
TN
05
—
3017
—
AR
Enumeration date
04/22/2008
Last updated
10/04/2012
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