Individual
MRS. LAUREN THACKARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1135 OLDE W CHOCOLATE AVE, HUMMELSTOWN, PA 17036-9188
(717) 531-7010
Mailing address
2506 PENBROOK AVE, HARRISBURG, PA 17103-1829
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL009769
PA
Other
Enumeration date
04/25/2014
Last updated
04/25/2014
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