Provider Demographics
NPI:1306148176
Name:LAGIN, LAUREN (MS CCC/SLP)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:
Last Name:LAGIN
Suffix:
Gender:F
Credentials:MS CCC/SLP
Other - Prefix:
Other - First Name:LAUREN
Other - Middle Name:
Other - Last Name:ARONSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:614 S. 4TH STREET
Mailing Address - Street 2:#353
Mailing Address - City:PHILA
Mailing Address - State:PA
Mailing Address - Zip Code:19147
Mailing Address - Country:US
Mailing Address - Phone:717-648-8789
Mailing Address - Fax:
Practice Address - Street 1:614 S. 4TH STREET
Practice Address - Street 2:#353
Practice Address - City:PHILA
Practice Address - State:PA
Practice Address - Zip Code:19147
Practice Address - Country:US
Practice Address - Phone:717-648-8789
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-29
Last Update Date:2019-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL008711235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist