Provider Demographics
NPI:1083335202
Name:LAGGER, EMMA
Entity Type:Individual
Prefix:
First Name:EMMA
Middle Name:
Last Name:LAGGER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16626 W SPRINGVIEW DR
Mailing Address - Street 2:
Mailing Address - City:LOCKPORT
Mailing Address - State:IL
Mailing Address - Zip Code:60441-7001
Mailing Address - Country:US
Mailing Address - Phone:815-735-3948
Mailing Address - Fax:
Practice Address - Street 1:16626 W SPRINGVIEW DR
Practice Address - Street 2:
Practice Address - City:LOCKPORT
Practice Address - State:IL
Practice Address - Zip Code:60441-7001
Practice Address - Country:US
Practice Address - Phone:815-735-3948
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-06
Last Update Date:2022-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist