Provider Demographics
NPI:1366338857
Name:MERCHAN, LILLIAN LEIGH (MA)
Entity type:Individual
Prefix:
First Name:LILLIAN
Middle Name:LEIGH
Last Name:MERCHAN
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1303 SKYLARK DR
Mailing Address - Street 2:
Mailing Address - City:CEDAR RAPIDS
Mailing Address - State:IA
Mailing Address - Zip Code:52403-9085
Mailing Address - Country:US
Mailing Address - Phone:319-551-0111
Mailing Address - Fax:
Practice Address - Street 1:202 35TH STREET DR SE
Practice Address - Street 2:
Practice Address - City:CEDAR RAPIDS
Practice Address - State:IA
Practice Address - Zip Code:52403-1353
Practice Address - Country:US
Practice Address - Phone:319-458-5521
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-13
Last Update Date:2025-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA132651235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist