Organization
LAKE REGION FUNCTIONAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRYSTAL ANGELICA LLOYD M.S. CCC-SLP (OWNER/SPEECH PATHOLOGIST)
(570) 228-2248
Entity
Organization
Contact information
Practice address
2575 ROUTE 6 STE 2, HAWLEY, PA 18428-7066
(570) 228-2248
(570) 227-1914
Mailing address
2575 ROUTE 6 STE 2, HAWLEY, PA 18428-7066
(570) 228-2248
(570) 227-1914
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
09/13/2022
Last updated
09/13/2022
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