Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. LAUREN JACK, MS CCC-SLP
Active Sole ProprietorMS. LAUREN JACK, MS CCC-SLP is a Speech, Language and Hearing Specialist healthcare provider located in LAKE LOTAWANA, Missouri. NPI 1790173656 is currently active in the NPPES registry. Verify at CMS.
Speech, Language and Hearing Specialist · LAKE LOTAWANA, MO
Registration Details
- NPI Number
- 1790173656
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 30, 2014 (11.618321150502 yrs)
- Last Updated
- Dec 30, 2014
- License
-
3301 (KS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
53 R STLAKE LOTAWANA, MO, 640869429Browse MO providers · Browse ZIP 64086
- Phone
- 8162135943
- Primary Specialty
-
Speech, Language and Hearing Specialist
235Z00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.