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NPI Code Detail

MEDICARE: LANIE MCDERMOTT MS, CCC-SLP

MEDICARE: LANIE MCDERMOTT MS, 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 PathologistSA19547FL

General Provider Information

NPI Number : 1255072153
Entity Type Code : Individual
Provider Name (Legal Business Name) : LANIE MCDERMOTT MS, CCC-SLP
Provider Business Mailing Address
First Line : 1811 STANDING ROCK CIR
Second Line :
City : OAKLAND
State : FL
Zip : 34787-8117
Country : US
Telephone Number : 813-817-5768
Fax Number :
Provider Business Practice Location Address
First Line : 1000 COLOR PL STE 101
Second Line :
City : APOPKA
State : FL
Zip : 32703-7717
Country : US
Telephone Number : 888-754-0398
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/05/2022
Last Update Date : 04/05/2022

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Directions to “ LANIE MCDERMOTT MS, CCC-SLP” Practice Location

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