Licausi, Lauren

Licausi, Lauren is an individual health care provider with primary practice located at 6248 N Boone School Rd , Poplar Grove IL 61065-8548. 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. Licausi, Lauren can be contacted via phone (815) 765-3322.

Contact Information

Primary practice address
6248 N Boone School Rd Poplar Grove IL 61065-8548
Phone: (815) 765-3322
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 146011745 Illinois

Profile Details

NPI number 1649784257
LBN Legal business name Licausi, Lauren
Credentials M.S., CCC-SLP/L
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 20th, 2017
Last updated Nov 20th, 2017 - about 9 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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Identifiers

StateTypeNumberIssuer
All States NPI 1649784257 NPPES
Illinois Other 146011745 IDFPR

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