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NPI Code Detail

MEDICARE: LENORA WALTER

MEDICARE: LENORA WALTER
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 Pathologist19925CA

General Provider Information

NPI Number : 1972323251
Entity Type Code : Individual
Provider Name (Legal Business Name) : LENORA WALTER
Provider Business Mailing Address
First Line : 2825 HARRISON ST
Second Line :
City : OAKLAND
State : CA
Zip : 94611-5520
Country : US
Telephone Number : 805-245-7319
Fax Number :
Provider Business Practice Location Address
First Line : 345 38TH ST
Second Line :
City : OAKLAND
State : CA
Zip : 94609-2703
Country : US
Telephone Number : 510-250-9199
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/11/2024
Last Update Date : 10/11/2024

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Directions to “ LENORA WALTER ” 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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