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NPI Code Detail

MEDICARE: LORI ANN LAGODA

MEDICARE: LORI ANN LAGODA
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 PathologistSL003786LPA

General Provider Information

NPI Number : 1730302688
Entity Type Code : Individual
Provider Name (Legal Business Name) : LORI ANN LAGODA
Provider Business Mailing Address
First Line : 605 MAIN ST
Second Line :
City : RICHMONDALE
State : PA
Zip : 18421-9602
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 915 DELAWARE ST
Second Line :
City : FOREST CITY
State : PA
Zip : 18421-1005
Country : US
Telephone Number : 570-785-3390
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/10/2007
Last Update Date : 07/08/2007

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Directions to “ LORI ANN LAGODA ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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