Provider Demographics
NPI:1194945642
Name:LORANG, TRACEY LYNN (MA CCC SLP)
Entity type:Individual
Prefix:MRS
First Name:TRACEY
Middle Name:LYNN
Last Name:LORANG
Suffix:
Gender:F
Credentials:MA CCC SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:205 JEANNE CIR
Mailing Address - Street 2:
Mailing Address - City:HARTFORD
Mailing Address - State:SD
Mailing Address - Zip Code:57033-2351
Mailing Address - Country:US
Mailing Address - Phone:605-528-6428
Mailing Address - Fax:
Practice Address - Street 1:520 S 1ST AVE
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57104-6902
Practice Address - Country:US
Practice Address - Phone:605-336-5621
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist