Individual
MARLA LANTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
4603 TIMBERWALK CT, LA GRANGE, KY 40031-6746
(703) 575-8129
Mailing address
4604 OAK FOREST RD, LOUISVILLE, KY 40245-1993
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
KY-2316
KY
Other
Enumeration date
06/14/2011
Last updated
06/14/2011
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