Individual
LORA WIGGANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
1829 DENVER WEST DR BLDG 27, GOLDEN, CO 80401-3120
(520) 425-3576
Mailing address
1829 DENVER WEST DR BLDG 27, GOLDEN, CO 80401-3120
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP.0002524
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
115768
AHCCCS PROVIDER NUMBER
AZ
Enumeration date
08/07/2015
Last updated
05/15/2024
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