Organization Name: | LEA B LANIER |
NPI Number: | 1992000178 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LEA LANIER (SLP) |
Mailing Address: | 518 Gentilly Rd Statesboro |
State: | GA US |
Postal Code: | 304585149 |
Phone Number: | 9126817768 |
Fax Number: | |
NPI Enumeration Date: | 01/19/2011 |
NPI Last Update Date: | 01/19/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SPL005494 |
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 |