Individual
LORI TANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
2701 CHESTNUT STATION CT, LOUISVILLE, KY 40299-6395
(800) 335-1060
Mailing address
3077 VALLEYBROOK CT, NEWBURGH, IN 47630-2685
(901) 581-3945
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22003523A
IN
Other
Enumeration date
06/05/2024
Last updated
06/05/2024
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