Individual
LANIE LILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP - CCC
Contact information
Practice address
191 S EAST ST, FREDERICK, MD 21701-5918
(240) 236-5000
Mailing address
322 THOMAS AVE, FREDERICK, MD 21701-6248
(703) 300-2915
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
11415
MD
Other
Enumeration date
02/14/2025
Last updated
02/14/2025
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