Provider Demographics
NPI:1487722443
Name:LANFORD, LAURA MCSWAIN (SLP)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:MCSWAIN
Last Name:LANFORD
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:LAURA
Other - Middle Name:SUZANNE
Other - Last Name:MCSWAIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:SLP
Mailing Address - Street 1:905 HUNTS POINTE CV
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30022-8498
Mailing Address - Country:US
Mailing Address - Phone:678-240-0908
Mailing Address - Fax:678-240-0908
Practice Address - Street 1:905 HUNTS POINTE CV
Practice Address - Street 2:
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30022-8498
Practice Address - Country:US
Practice Address - Phone:678-240-0908
Practice Address - Fax:678-240-0908
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-30
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GASLP003527235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA01109454OtherASHA CERTIFICATION