Individual
JACOB LALAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S., CCC-SLP
Contact information
Practice address
1410 N RIM DR, FLAGSTAFF, AZ 86001-1456
(928) 856-0450
Mailing address
1410 N RIM DR, FLAGSTAFF, AZ 86001-1456
(928) 856-0450
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP7979
AZ
Other
Enumeration date
09/06/2012
Last updated
09/22/2020
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