Organization
LANNAN SPEECH THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA LANNAN (SPEECH THERAPIST)
(570) 428-3572
Entity
Organization
Contact information
Practice address
51 LEVI ST, BLOOMSBURG, PA 17815-7786
(570) 428-3572
(888) 939-4190
Mailing address
51 LEVI ST, BLOOMSBURG, PA 17815-7786
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL009942
PA
Other
Enumeration date
11/02/2015
Last updated
11/02/2015
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