Provider Demographics
NPI:1437333648
Name:MANNO, LORANE (CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:LORANE
Middle Name:
Last Name:MANNO
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 1:12579 MORAY FIRTH DR.
Mailing Address - Street 2:
Mailing Address - City:BRISTOW
Mailing Address - State:VA
Mailing Address - Zip Code:20136
Mailing Address - Country:US
Mailing Address - Phone:703-393-8716
Mailing Address - Fax:
Practice Address - Street 1:12579 MORAY FIRTH WAY
Practice Address - Street 2:
Practice Address - City:BRISTOW
Practice Address - State:VA
Practice Address - Zip Code:20136-3035
Practice Address - Country:US
Practice Address - Phone:703-393-8716
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-24
Last Update Date:2007-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2202003556235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist