Individual
LAUREN ALYSSA BURGHEIMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6270 N GOVERNMENT WAY, DALTON GARDENS, ID 83815-9214
(208) 666-0611
Mailing address
1224 E 19TH AVE, SPOKANE, WA 99203-3424
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
TSLP-4441
ID
Other
Enumeration date
09/01/2020
Last updated
09/01/2020
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