| Mrs Lisa Rae Blanton, MS/CCC-SLP | |
|
N3995 Annex Rd, Jefferson, WI 53549-9618 | |
| (920) 674-7386 | |
| (920) 674-6694 |
| Full Name | Mrs Lisa Rae Blanton |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | N3995 Annex Rd, Jefferson, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548362056 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 1265-154 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Lisa Rae Blanton, MS/CCC-SLP W2579 Hale Rd, Neosho, WI 53059-9522 Ph: (920) 625-3147 | Mrs Lisa Rae Blanton, MS/CCC-SLP N3995 Annex Rd, Jefferson, WI 53549-9618 Ph: (920) 674-7386 |
Sarah Falk Sullivan, MA Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: N3995 Annex Rd, Jefferson, WI 53549 Phone: 920-674-7386 Fax: 920-674-6694 | |
Hildegard Kopp, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1130 Collins Rd, Jefferson, WI 53549 Phone: 920-674-6077 | |
Abigail Jane Krueger, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1541 Annex Rd, Jefferson, WI 53549 Phone: 920-674-7386 Fax: 920-674-6694 | |
Alicia Kraucunas, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1130 Collins Rd, Jefferson, WI 53549 Phone: 920-674-6077 | |
Page C Carriveau, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1541 Annex Rd, Jefferson, WI 53549 Phone: 920-674-8718 | |
Jennifer Mantes, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1541 Annex Rd, Jefferson, WI 53549 Phone: 920-674-8718 Fax: 920-674-6694 |