Doctor Name: | LAURA LEE LUGINBUHL |
NPI Number: | 1073817334 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLP |
License Number: | 242001677 |
Business Practice Address: | 1909 N Morton Ave Morton, IL - 615501426 |
Business Phone Number: | 3092665488 |
Business Fax Number: | 3092669144 |
Mailing Address: | 1909 N Morton Ave, MORTON |
State: | IL |
Postal Code: | 615501426 |
Phone Number: | 3092665488 |
Fax Number: | 3092669144 |
NPI Enumeration Date: | 12/30/2010 |
NPI Last Update Date: | 12/30/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 242001677 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |