| Lori Anne Bagwell, CCC-SLP | |
|
100 W Union St, Vienna, GA 31092-1055 | |
| (229) 521-1152 | |
| Not Available |
| Full Name | Lori Anne Bagwell |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 100 W Union St, Vienna, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306720511 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | SLP004943 (Georgia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Lori Anne Bagwell, CCC-SLP 1616 Lucy Ln, Rochelle, GA 31079-7633 Ph: (229) 942-6797 | Lori Anne Bagwell, CCC-SLP 100 W Union St, Vienna, GA 31092-1055 Ph: (229) 521-1152 |
Ms. Rebecca Taylor Willingham, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 204 W Union St, Vienna, GA 31092 Phone: 229-268-4725 Fax: 229-268-1567 | |
Darrian Marie Bailey, Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 100 W Union St, Vienna, GA 31092 Phone: 229-521-1152 |