Provider Demographics
NPI:1699720128
Name:LACOE, SHERI A (AUD)
Entity type:Individual
Prefix:MS
First Name:SHERI
Middle Name:A
Last Name:LACOE
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:SHERI
Other - Middle Name:A
Other - Last Name:SLATER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:940 JEFFERSON AVE.
Mailing Address - Street 2:
Mailing Address - City:SCRANTON
Mailing Address - State:PA
Mailing Address - Zip Code:18510-1007
Mailing Address - Country:US
Mailing Address - Phone:570-558-2624
Mailing Address - Fax:570-558-2479
Practice Address - Street 1:940 JEFFERSON AVE.
Practice Address - Street 2:
Practice Address - City:SCRANTON
Practice Address - State:PA
Practice Address - Zip Code:18510-1007
Practice Address - Country:US
Practice Address - Phone:570-558-2624
Practice Address - Fax:570-558-2479
Is Sole Proprietor?:No
Enumeration Date:2006-05-23
Last Update Date:2009-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAT000954L231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
P82478Medicare UPIN
PA067389Medicare ID - Type Unspecified
067389Medicare PIN