Individual
DONNA LEE BUCKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
111 MOSSWOOD ROAD, LAKELAND, FL 33801
(863) 225-1263
(863) 225-1294
Mailing address
3625 BUNKER RD, LAKELAND, FL 33811-1099
(863) 225-1263
(863) 225-1294
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
08/20/2015
Last updated
08/20/2015
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