Organization
LEA B LANIER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEA LANIER (SLP)
(912) 681-7768
Entity
Organization
Contact information
Practice address
518 GENTILLY RD, STATESBORO, GA 30458-5149
(912) 681-7768
Mailing address
1211 SHASTA CT, STATESBORO, GA 30458-9237
(912) 681-7768
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SPL005494
GA
Other
Enumeration date
01/19/2011
Last updated
01/19/2011
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