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NPI Code Detail

MEDICARE: LAURA LIERMANN

MEDICARE:   LAURA  LIERMANN
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 Pathologist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
114113769OTHERMDAMERICAN SPEECH-LANGUAGE ASSOCIATION
2SLP.0003404OTHERCOCOLORADO DEPARTMENT OF REGULATORY AGENCIES

General Provider Information

NPI Number : 1881162329
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURA LIERMANN
Provider Business Mailing Address
First Line : 6660 DELMONICO DR STE D
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80919-1961
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5850 MORNING LIGHT TER
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80919-3781
Country : US
Telephone Number : 888-701-9216
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/02/2018
Last Update Date : 11/02/2018

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Directions to “ LAURA LIERMANN ” Practice Location

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