Ms Lauren Jack, MS CCC-SLP is a
Speech-language Pathologist based in Lake Lotawana, Missouri. Ms Lauren Jack is licensed to practice in Kansas (license number 3301) and her current practice location is
53 R St, Lake Lotawana, Missouri. She can be reached at her office (for appointments etc.) via phone at
(816) 213-5943.
NPI number for Ms Lauren Jack is 1790173656 and her current mailing address is 53 R St, Lake Lotawana, Missouri. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1790173656.
Healthcare Provider's Profile
| Full Name | Ms Lauren Jack |
|---|
| Gender | Female |
|---|
| Speciality | Speech-language Pathologist |
|---|
| Location | 53 R St, Lake Lotawana, Missouri |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1790173656
- Provider Enumeration Date: 12/30/2014
- Last Update Date: 12/30/2014
Medical Identifiers
Medical identifiers for Ms Lauren Jack such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1790173656 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 235Z00000X | Speech-language Pathologist | 3301 (Kansas) | 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 Lauren Jack 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 Lauren Jack, MS CCC-SLP 53 R St, Lake Lotawana, MO 64086-9429 Ph: () - | Ms Lauren Jack, MS CCC-SLP 53 R St, Lake Lotawana, MO 64086-9429 Ph: (816) 213-5943 |
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