Provider Demographics
NPI:1134315153
Name:LAMERS, ANNA LEE (MS CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:ANNA
Middle Name:LEE
Last Name:LAMERS
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 1:1020 E 33RD PL
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74105-2539
Mailing Address - Country:US
Mailing Address - Phone:918-260-3554
Mailing Address - Fax:
Practice Address - Street 1:9 N WATER ST STE 107
Practice Address - Street 2:
Practice Address - City:SAPULPA
Practice Address - State:OK
Practice Address - Zip Code:74066-2820
Practice Address - Country:US
Practice Address - Phone:918-224-5400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-24
Last Update Date:2007-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK3313235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist