Individual
LINDA LAWLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3911 AVENUE B, SUITE G200, SCOTTSBLUFF, NE 69361-4617
(308) 630-1355
(308) 630-2299
Mailing address
3640 E 18TH ST, CASPER, WY 82609-3639
(307) 259-6722
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1419
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01111510
ASHA
—
01
—
SP-1419
NE SPEECH PATHOLOGY LICENSE
NE
Enumeration date
02/14/2009
Last updated
06/12/2013
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