Laura E Lake, SPEECH THERAPIST
NPI #1124146949 in Belleville, Illinois
Provider Information
- NPI Number
- 1124146949
- Entity Type
- Individual
- Name
- Laura E Lake, SPEECH THERAPIST
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Speech-Language Pathologist
- Credential
- SPEECH THERAPIST
- Enumeration Date
- Mar 27, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 2810 FRANK SCOTT PKWY W
- Address 2
- STE 824
- City
- Belleville
- State
- Illinois
- ZIP Code
- 62223-5007
- Phone
- (618) 234-9705
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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