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Individual

LAUREN VANZANT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S. CCC-SLP

Contact information

Practice address
721 METROPOLITAN AVE STE C, LEAVENWORTH, KS 66048-1469
(913) 362-7518
Mailing address
1412 FOX RUN TRL, PLATTE CITY, MO 64079-7643
(816) 813-0393

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
2014028362
MO
235Z00000X
Speech-Language Pathologist
Primary
4011
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
13982108
CAQH
Enumeration date
03/30/2017
Last updated
03/30/2017
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