Lauren Renee Brucks
Speech-Language Pathologist, in Joplin, MO. Individual provider (NPI-1).
NPI number1700187267
StatusActive
Last updated in NPPESNov 15, 2010
Details
- NPI
- 1700187267
- Entity type
- Individual (NPI-1)
- Name
- Lauren Renee Brucks
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 15, 2010
- Last updated
- Nov 15, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | 2010036789 | MO | Yes |
Practice location
1102 W 32nd StFreeman Outpatient Rehabilitation
Joplin, MO 64804-3503
Phone 417-347-1111
Mailing address
1102 W 32nd StFreeman Outpatient Rehabilitation
Joplin, MO 64804-3503
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