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NPI Code Detail

MEDICARE: KARA LAMPINEN CCC-SLP

MEDICARE:   KARA  LAMPINEN  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 Pathologist7101008677MI

General Provider Information

NPI Number : 1487211298
Entity Type Code : Individual
Provider Name (Legal Business Name) : KARA LAMPINEN CCC-SLP
Provider Business Mailing Address
First Line : 6809 MCCULLOM LAKE RD
Second Line :
City : WONDER LAKE
State : IL
Zip : 60097-9546
Country : US
Telephone Number : 815-653-2311
Fax Number :
Provider Business Practice Location Address
First Line : 1030 MINERS RD STE C
Second Line :
City : SAINT JOSEPH
State : MI
Zip : 49085-9709
Country : US
Telephone Number : 269-235-9083
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/28/2019
Last Update Date : 01/05/2024

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Directions to “ KARA LAMPINEN CCC-SLP” Practice Location

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