Individual
LAURA R LUMLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
252 MCHENRY ST, BURLINGTON, WI 53105-1828
(262) 767-7125
Mailing address
252 MCHENRY ST, BURLINGTON, WI 53105-1828
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2784-154
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42574800
—
WI
Enumeration date
06/05/2007
Last updated
12/08/2021
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