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Organization
LAKE SPEECH AND LANGUAGE EVALUATION AND TREATMENT SERVICES, INC.
Active
Organization
LAKE SPEECH AND LANGUAGE EVALUATION AND TREATMENT SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH S LOBAINA SLP (DIRECTOR/ OWNER)
(352) 432-3998
Entity
Organization
Contact information
Practice address
835 7TH ST, SUITE 7, CLERMONT, FL 34711-2190
(352) 432-3998
(352) 432-3999
Mailing address
835 7TH ST, SUITE 7, CLERMONT, FL 34711-2190
(352) 432-3998
(352) 432-3999
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
SA8158
FL
235Z00000X
Speech-Language Pathologist
Primary
SA8291
FL
235Z00000X
Speech-Language Pathologist
SA8887
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002940100
—
FL
05
—
892301900
—
FL
Enumeration date
07/05/2011
Last updated
07/05/2011
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