Blanton, Lisa Rae

Blanton, Lisa Rae is an individual health care provider with primary practice located at N3995 Annex Rd , Jefferson WI 53549-9618. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Blanton, Lisa Rae can be contacted via phone (920) 674-7386.

Contact Information

Primary practice address
N3995 Annex Rd Jefferson WI 53549-9618
Phone: (920) 674-7386
Fax: (920) 674-6694
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 1265-154 Wisconsin

Profile Details

NPI number 1548362056
LBN Legal business name Blanton, Lisa Rae
Credentials MS/CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 4th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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