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NPI Code Detail

MEDICARE: MRS. LIDIA VEREMENKO-LOBENBERG CCC-SLP

MEDICARE: MRS. LIDIA VEREMENKO-LOBENBERG 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 Pathologist25474CA

General Provider Information

NPI Number : 1083142004
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LIDIA VEREMENKO-LOBENBERG CCC-SLP
Provider Business Mailing Address
First Line : 6720 FULTON ST APT 5
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94121-3341
Country : US
Telephone Number : 415-652-9320
Fax Number :
Provider Business Practice Location Address
First Line : 2707 PINE ST
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94115-2522
Country : US
Telephone Number : 415-563-7600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/03/2017
Last Update Date : 06/12/2023

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Directions to “ MRS. LIDIA VEREMENKO-LOBENBERG CCC-SLP” Practice Location

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