Individual
LANA ELAINE FANOUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CF-SLP
Contact information
Practice address
7251 W 20TH ST, GREELEY, CO 80634-4625
(970) 702-2998
Mailing address
25812 W 69TH TER, SHAWNEE, KS 66226-3349
(913) 687-8344
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/18/2017
Last updated
05/18/2017
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