Individual
JANICE KAY LANTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
453 MONTICELLO PL, EDWARDSVILLE, IL 62025-3183
(618) 779-8269
Mailing address
453 MONTICELLO PL, EDWARDSVILLE, IL 62025-3183
(618) 779-8269
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09141246
ASHA
—
01
—
2002007100
STATE OF MO LICENSE
MO
01
—
JL89200602P
PROVIDER CONNECTIONS CRED
IL
Enumeration date
03/15/2007
Last updated
07/08/2007
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