Ms Carol K Lanza, MS-CCC/SLP is a
Speech-language Pathologist based in Luck, Wisconsin. Ms Carol K Lanza is licensed to practice in Wisconsin (license number 395154) and her current practice location is
210 E Park Ave, Luck, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(715) 472-3114.
NPI number for Ms Carol K Lanza is 1023313426 and her current mailing address is 6492 Burnikel Rd, Siren, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1023313426.
Healthcare Provider's Profile
| Full Name | Ms Carol K Lanza |
|---|
| Gender | Female |
|---|
| Speciality | Speech-language Pathologist |
|---|
| Location | 210 E Park Ave, Luck, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1023313426
- Provider Enumeration Date: 01/14/2011
- Last Update Date: 01/14/2011
Medical Identifiers
Medical identifiers for Ms Carol K Lanza such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1023313426 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 235Z00000X | Speech-language Pathologist | 395154 (Wisconsin) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Carol K Lanza is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ms Carol K Lanza, MS-CCC/SLP
6492 Burnikel Rd,
Siren, WI 54872-9118
Ph: (715) 349-5279 | Ms Carol K Lanza, MS-CCC/SLP
210 E Park Ave,
Luck, WI 54853-9066
Ph: (715) 472-3114 |
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