Provider Demographics
NPI:1346412822
Name:LAKEFIELD, LORI-LEE MICHELL (CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:LORI-LEE
Middle Name:MICHELL
Last Name:LAKEFIELD
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4455 COUNTY ROAD 4
Mailing Address - Street 2:
Mailing Address - City:SHERWOOD
Mailing Address - State:ND
Mailing Address - Zip Code:58782-9784
Mailing Address - Country:US
Mailing Address - Phone:701-459-2882
Mailing Address - Fax:
Practice Address - Street 1:4455 COUNTY ROAD 4
Practice Address - Street 2:
Practice Address - City:SHERWOOD
Practice Address - State:ND
Practice Address - Zip Code:58782-9784
Practice Address - Country:US
Practice Address - Phone:701-459-2882
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-25
Last Update Date:2008-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND906235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist