Provider Demographics
NPI:1124562624
Name:LAKOSKI, ROSEMARY VERA (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:ROSEMARY
Middle Name:VERA
Last Name:LAKOSKI
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4811 GEREN TRL
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75071-7391
Mailing Address - Country:US
Mailing Address - Phone:512-749-3513
Mailing Address - Fax:
Practice Address - Street 1:4811 GEREN TRL
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75071-7391
Practice Address - Country:US
Practice Address - Phone:512-749-3513
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-12-19
Last Update Date:2023-08-28
Deactivation Date:2018-03-11
Deactivation Code:
Reactivation Date:2023-08-25
Provider Licenses
StateLicense IDTaxonomies
TX119845235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX119845OtherTDLR LICENSE NUMBER
14453869OtherASHA