Doctor Name: | LEA B LANIER |
NPI Number: | 1477889921 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ED.S., CCC-SLP |
License Number: | SLP005494 |
Business Practice Address: | 1211 Shasta Ct Statesboro, GA - 304589237 |
Business Phone Number: | 9125361333 |
Business Fax Number: | |
Mailing Address: | 1211 Shasta Ct, STATESBORO |
State: | GA |
Postal Code: | 304589237 |
Phone Number: | 9125361333 |
Fax Number: | |
NPI Enumeration Date: | 10/19/2009 |
NPI Last Update Date: | 01/19/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SLP005494 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
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 |