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NPI Code Detail

MEDICARE: MRS. LISA DAWN KRABY M.S., CCC-SLP, CBIS

MEDICARE: MRS. LISA DAWN KRABY M.S., CCC-SLP, CBIS
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 Pathologist002081IA

General Provider Information

NPI Number : 1073882957
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LISA DAWN KRABY M.S., CCC-SLP, CBIS
Provider Business Mailing Address
First Line : 1915 PHILADELPHIA ST
Second Line :
City : AMES
State : IA
Zip : 50010-8768
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1915 PHILADELPHIA ST
Second Line :
City : AMES
State : IA
Zip : 50010-8768
Country : US
Telephone Number : 515-232-7220
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/21/2011
Last Update Date : 02/09/2022

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Directions to “ MRS. LISA DAWN KRABY M.S., CCC-SLP, CBIS” Practice Location

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