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NPI Code Detail

MEDICARE: LULILA CRAWFORD CCC-SLP

MEDICARE: LULILA CRAWFORD CCC-SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language PathologistSLP006295GA

General Provider Information

NPI Number : 1114010220
Entity Type Code : Individual
Provider Name (Legal Business Name) : LULILA CRAWFORD CCC-SLP
Provider Business Mailing Address
First Line : 675 SEMINOLE AVE NE
Second Line : SUITE T05
City : ATLANTA
State : GA
Zip : 30307-3408
Country : US
Telephone Number : 404-575-4000
Fax Number : 404-575-4010
Provider Business Practice Location Address
First Line : 675 SEMINOLE AVE NE
Second Line : SUITE T05
City : ATLANTA
State : GA
Zip : 30307-3408
Country : US
Telephone Number : 404-575-4000
Fax Number : 404-575-4010
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/02/2006
Last Update Date : 07/08/2007

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Directions to “ LULILA CRAWFORD CCC-SLP” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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