Provider Demographics
NPI:1306530704
Name:NOLZ, LASHAE (SPEECH PATHOLOGIST)
Entity type:Individual
Prefix:
First Name:LASHAE
Middle Name:
Last Name:NOLZ
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 1:1600 E INTERSTATE AVE STE 3
Mailing Address - Street 2:
Mailing Address - City:BISMARCK
Mailing Address - State:ND
Mailing Address - Zip Code:58503-1226
Mailing Address - Country:US
Mailing Address - Phone:701-751-1125
Mailing Address - Fax:701-751-0729
Practice Address - Street 1:1600 E INTERSTATE AVE STE 3
Practice Address - Street 2:
Practice Address - City:BISMARCK
Practice Address - State:ND
Practice Address - Zip Code:58503-1226
Practice Address - Country:US
Practice Address - Phone:701-751-1125
Practice Address - Fax:701-751-0729
Is Sole Proprietor?:No
Enumeration Date:2023-06-07
Last Update Date:2023-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist