Individual
MRS. LISA MARIE BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC SLP
Contact information
Practice address
LEBANON SPEECH AND HEARING, PIONEER DR, LEBANON, VA 24266
(276) 889-1389
(276) 889-5847
Mailing address
PO BOX 967, LEBANON, VA 24266
(276) 889-1389
(276) 889-5847
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
179262
ANTHEM
VA
Enumeration date
09/05/2006
Last updated
07/08/2007
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