NPI Code Detail JSON Logo

1568639664 NPI number — DAWN MARIE LA LUZERNE M.S., CCC-SLP

NPI Number: 1568639664
Health Care Provider/Practitioner: DAWN MARIE LA LUZERNE M.S., CCC-SLP

Information about “1568639664” NPI (DAWN MARIE LA LUZERNE M.S., CCC-SLP) exists in 1568639664 in HTML format HTML  |  1568639664 in plain Text format TXT  |  1568639664 in PDF (Portable Document Format) PDF  |  1568639664 in an XML format XML  formats.

NPI Number : 1568639664 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1568639664",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "LA LUZERNE",
    "FirstName": "DAWN",
    "MiddleName": "MARIE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "M.S., CCC-SLP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "KALE",
    "OtherFirstName": "DAWN",
    "OtherMiddleName": "MARIE",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "M.S., CCC-SLP",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "2231 MACCAUX DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "GREEN BAY",
    "MailingAddressStateName": "WI",
    "MailingAddressPostalCode": "54302-4531",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "773-633-7593",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2231 MACCAUX DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "GREEN BAY",
    "PracticeLocationAddressStateName": "WI",
    "PracticeLocationAddressPostalCode": "54302-4531",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "773-633-7593",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "05/08/2008",
    "LastUpdateDate": "05/08/2008",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "235Z00000X",
        "TaxonomyName": "Speech-Language Pathologist",
        "LicenseNumber": "1200-154",
        "LicenseNumberStateCode": "WI",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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