Individual
MRS. LAUREN LANE STOKLOSA
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
SPEECH PATHOLOGIST
Contact information
Practice address
155 LELAND FERRELL DR, LEESBURG, GA 31763-4559
(229) 446-0692
Mailing address
155 LELAND FERRELL DR, LEESBURG, GA 31763-4559
(229) 446-0692
(229) 446-0692
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP004130
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
624173876A
—
GA
Enumeration date
11/08/2005
Last updated
07/08/2007
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