Basic Information
| Provider Information | |||||||||
| NPI: | 1447421946 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | O'MALLEY | ||||||||
| FirstName: | LAUREN | ||||||||
| MiddleName: | N | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3446 DAWN VIEW DR | ||||||||
| Address2: | |||||||||
| City: | LANCASTER | ||||||||
| State: | PA | ||||||||
| PostalCode: | 176011156 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8569126168 | ||||||||
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| Practice Location | |||||||||
| Address1: | 3446 DAWN VIEW DR | ||||||||
| Address2: | |||||||||
| City: | LANCASTER | ||||||||
| State: | PA | ||||||||
| PostalCode: | 176011156 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8569859257 | ||||||||
| FaxNumber: | 8552328604 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/12/2008 | ||||||||
| LastUpdateDate: | 08/11/2015 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 235Z00000X | SL010447 | PA | Y | Speech, Language and Hearing Service Providers | Speech-Language Pathologist |
No ID Information.