Individual
LAUREN BUCKNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1403 HONAKER AVE, PRINCETON, WV 24740-3065
(304) 487-1551
Mailing address
1403 HONAKER AVE, PRINCETON, WV 24740-3065
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
R9P132500514
WV
Other
Enumeration date
04/27/2015
Last updated
04/27/2015
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