Individual
MRS. LUCILLE A WAKEFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA/CCC-SLP
Contact information
Practice address
1500 WOODLAND ST, LEBANON, PA 17042-6563
(717) 675-2174
(717) 270-6819
Mailing address
320 HIGHLAND DR, P.O. BOX 527, MOUNTVILLE, PA 17554-1232
(717) 285-7121
(717) 285-5302
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL000889L
PA
Other
Enumeration date
10/26/2009
Last updated
10/26/2009
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