Individual
LEA B LANIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ED.S., CCC-SLP
Contact information
Practice address
1211 SHASTA CT, STATESBORO, GA 30458-9237
(912) 536-1333
Mailing address
1211 SHASTA CT, STATESBORO, GA 30458-9237
(912) 536-1333
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP005494
GA
Other
Enumeration date
10/19/2009
Last updated
01/19/2011
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