Stoklosa, Lauren Lane
Stoklosa, Lauren Lane is an individual health care provider with primary practice located at 155 Leland Ferrell Dr , Leesburg GA 31763-4559. 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. Stoklosa, Lauren Lane can be contacted via phone (229) 446-0692.Contact Information
Primary practice address
155 Leland Ferrell Dr
Leesburg GA 31763-4559
Phone: (229) 446-0692
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SLP004130 | Georgia |
Profile Details
| NPI number | 1902887961 |
|---|---|
| LBN Legal business name | Stoklosa, Lauren Lane |
| Credentials | SPEECH PATHOLOGIST |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 8th, 2005 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902887961 | NPPES |
| Georgia | MEDICAID | 624173876A |
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