Individual
LAKYN ELISE VAVRUSKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
310 W MCCABE ST, STRAFFORD, MO 65757-8206
(417) 736-7000
Mailing address
568 STRAIGHT RD, CONWAY, MO 65632-7120
(417) 241-3704
(417) 241-3704
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2026028959
MO
Other
Enumeration date
06/24/2026
Last updated
06/24/2026
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