Fanfulik, Lisa

Fanfulik, Lisa is an sole proprietor health care provider with primary practice located at 9048 Peony Ln N , Maple Grove MN 55311-4417. 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. Fanfulik, Lisa can be contacted via phone (763) 416-9313.

Contact Information

Primary practice address
9048 Peony Ln N Maple Grove MN 55311-4417
Phone: (763) 416-9313
Fax: (763) 416-4530
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 8159 Minnesota

Profile Details

NPI number 1235304114
LBN Legal business name Fanfulik, Lisa
Credentials CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 23rd, 2008
Last updated Apr 23rd, 2008 - about 17 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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