Provider Demographics
NPI:1306015557
Name:LASMAN, LEA STONE (MA CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:LEA
Middle Name:STONE
Last Name:LASMAN
Suffix:
Gender:F
Credentials:MA CCC-SLP
Other - Prefix:
Other - First Name:LEA
Other - Middle Name:
Other - Last Name:BORENSTEIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:10 W 15TH ST APT 223
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10011-6819
Mailing Address - Country:US
Mailing Address - Phone:646-727-6706
Mailing Address - Fax:
Practice Address - Street 1:8050 SOQUEL DR STE A
Practice Address - Street 2:
Practice Address - City:APTOS
Practice Address - State:CA
Practice Address - Zip Code:95003-3981
Practice Address - Country:US
Practice Address - Phone:831-420-2767
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-02-21
Last Update Date:2019-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPE4663235Z00000X
NY235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist