Lia Faye Pankake

NPI 1184942948 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1184942948
Gender Female
Enumeration Date 05/04/2010
Last Updated 05/04/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
22 TOMPKINS ST
WATERBURY CT, 06708-1458, US
Phone (203) 419-0381
Fax (203) 419-0389
Business Location
22 TOMPKINS ST
WATERBURY CT, 06708-1458, US
Phone (203) 419-0381
Fax (203) 419-0389
Toxanomy
Taxonomy Code 235Z00000X
License State Connecticut
License Number 003667
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According to our database, Mrs. Lia Faye Pankake NPI is 1184942948, taxonomy code is 235Z00000X and license number is 003667, license state is located at Connecticut. Lia Faye Pankake physically located at 22 Tompkins St, Waterbury CT, 06708-1458. NPI Number Lia Faye Pankake has the Individual type.

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1184942948 NPI number is provided on an as is basis without warranty of any kind. 1184942948 is maintained by the National Plan & Provider Enumeration System. The contents of Lia Faye Pankake are for informational purposes only.