Provider Demographics
NPI:1154574937
Name:LIEBING, LORI NADEAN (SPEECH PATHOLOGIST)
Entity type:Individual
Prefix:
First Name:LORI
Middle Name:NADEAN
Last Name:LIEBING
Suffix:
Gender:F
Credentials:SPEECH PATHOLOGIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1440 NEVADA AVE SW
Mailing Address - Street 2:
Mailing Address - City:HURON
Mailing Address - State:SD
Mailing Address - Zip Code:57350-3151
Mailing Address - Country:US
Mailing Address - Phone:605-350-2922
Mailing Address - Fax:
Practice Address - Street 1:1440 NEVADA AVE SW
Practice Address - Street 2:
Practice Address - City:HURON
Practice Address - State:SD
Practice Address - Zip Code:57350-3151
Practice Address - Country:US
Practice Address - Phone:605-350-2922
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-24
Last Update Date:2008-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist