Provider Demographics
NPI:1497081285
Name:GEIGER, LAWRENCE EARL III (MS, CCC-SLP)
Entity Type:Individual
Prefix:MR
First Name:LAWRENCE
Middle Name:EARL
Last Name:GEIGER
Suffix:III
Gender:M
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
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Mailing Address - Street 1:5524 52ND AVE N
Mailing Address - Street 2:
Mailing Address - City:KENNETH CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33709-3765
Mailing Address - Country:US
Mailing Address - Phone:727-642-2699
Mailing Address - Fax:727-545-0949
Practice Address - Street 1:5524 52ND AVE N
Practice Address - Street 2:
Practice Address - City:KENNETH CITY
Practice Address - State:FL
Practice Address - Zip Code:33709-3765
Practice Address - Country:US
Practice Address - Phone:727-642-2699
Practice Address - Fax:727-545-0949
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-28
Last Update Date:2009-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA6157235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist