Provider Demographics
NPI:1588708754
Name:SITU, LORI A (SLP)
Entity type:Individual
Prefix:
First Name:LORI
Middle Name:A
Last Name:SITU
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:LORI
Other - Middle Name:
Other - Last Name:LINGENFELSER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:639 W. CHESTNUT EXPRESSWAY
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:65802
Mailing Address - Country:US
Mailing Address - Phone:417-326-3183
Mailing Address - Fax:417-326-3184
Practice Address - Street 1:639 W. CHESTNUT EXPRESSWAY
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MO
Practice Address - Zip Code:65802
Practice Address - Country:US
Practice Address - Phone:417-523-7500
Practice Address - Fax:417-523-7695
Is Sole Proprietor?:No
Enumeration Date:2007-02-19
Last Update Date:2015-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO117969235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist