Individual
MS. CAROL K LANZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS-CCC/SLP
Contact information
Practice address
210 E PARK AVE, LUCK, WI 54853-9066
(715) 472-3114
Mailing address
6492 BURNIKEL RD, SIREN, WI 54872-9118
(715) 349-5279
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
395154
WI
Other
Enumeration date
01/14/2011
Last updated
01/14/2011
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