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NPI Code Detail

MEDICARE: LAINEY JANE LINGENFELTER MS, CCC-SLP

MEDICARE: LAINEY JANE LINGENFELTER 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 Pathologist8130MN
2235Z00000XSpeech-Language Pathologist1498ND

General Provider Information

NPI Number : 1386773935
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAINEY JANE LINGENFELTER MS, CCC-SLP
Provider Business Mailing Address
First Line : 222 UNIVERSITY AVE
Second Line :
City : WILLISTON
State : ND
Zip : 58801-5658
Country : US
Telephone Number : 701-570-0818
Fax Number :
Provider Business Practice Location Address
First Line : 222 UNIVERSITY AVE
Second Line :
City : WILLISTON
State : ND
Zip : 58801-5658
Country : US
Telephone Number : 701-570-0818
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/02/2007
Last Update Date : 04/10/2024

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Directions to “ LAINEY JANE LINGENFELTER MS, CCC-SLP” Practice Location

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