Provider Demographics
NPI:1598447476
Name:LAPSON, ELISA LEORA (CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:ELISA
Middle Name:LEORA
Last Name:LAPSON
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:ELISA
Other - Middle Name:LEORA
Other - Last Name:ALWEIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CCC-SLP
Mailing Address - Street 1:2734 W GREENLEAF AVE APT 2S
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60645-3030
Mailing Address - Country:US
Mailing Address - Phone:607-725-9171
Mailing Address - Fax:
Practice Address - Street 1:2734 W GREENLEAF AVE APT 2S
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60645-3030
Practice Address - Country:US
Practice Address - Phone:607-725-9171
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-01
Last Update Date:2023-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL146.016691235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist