Provider Demographics
NPI:1447421946
Name:O'MALLEY, LAUREN N
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:N
Last Name:O'MALLEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3446 DAWN VIEW DR
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17601-1156
Mailing Address - Country:US
Mailing Address - Phone:856-912-6168
Mailing Address - Fax:
Practice Address - Street 1:3446 DAWN VIEW DR
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17601-1156
Practice Address - Country:US
Practice Address - Phone:856-985-9257
Practice Address - Fax:855-232-8604
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-12
Last Update Date:2015-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL010447235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist