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NPI Code Detail

MEDICARE: MS. BETH LASHLEY CCC-SLP

MEDICARE: MS. BETH LASHLEY 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 Pathologist2751OK

General Provider Information

NPI Number : 1053783985
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. BETH LASHLEY CCC-SLP
Provider Business Mailing Address
First Line : 753 NW FORT SILL BLVD
Second Line :
City : LAWTON
State : OK
Zip : 73507-5421
Country : US
Telephone Number : 580-357-6900
Fax Number :
Provider Business Practice Location Address
First Line : 753 NW FORT SILL BLVD
Second Line :
City : LAWTON
State : OK
Zip : 73507-5421
Country : US
Telephone Number : 580-357-6900
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/30/2015
Last Update Date : 10/30/2015

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Directions to “ MS. BETH LASHLEY CCC-SLP” Practice Location

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