Organization
LEPMIZ SPEECH-LANGUAGE PATHOLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RENAE SUZANNE STUEBER MS/CCC (PRESIDENT)
(218) 838-4271
Entity
Organization
Contact information
Practice address
200 NW 6TH ST, BRAINERD, MN 56401-3268
(218) 824-7030
(218) 824-7030
Mailing address
200 NW 6TH ST, BRAINERD, MN 56401-3268
(218) 824-7030
(218) 824-7030
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
874S2LE
BCBS OF MN
MN
Enumeration date
08/25/2005
Last updated
08/22/2020
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