Provider Demographics
NPI:1750837118
Name:RATCLIFF, LANA LYNN (M S CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:LANA
Middle Name:LYNN
Last Name:RATCLIFF
Suffix:
Gender:F
Credentials:M S CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1222 NE SUNNY CREEK LN
Mailing Address - Street 2:
Mailing Address - City:BLUE SPRINGS
Mailing Address - State:MO
Mailing Address - Zip Code:64014-2371
Mailing Address - Country:US
Mailing Address - Phone:816-721-5618
Mailing Address - Fax:
Practice Address - Street 1:1222 NE SUNNY CREEK LN
Practice Address - Street 2:
Practice Address - City:BLUE SPRINGS
Practice Address - State:MO
Practice Address - Zip Code:64014-2371
Practice Address - Country:US
Practice Address - Phone:816-721-5618
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-26
Last Update Date:2016-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2009019318235Z00000X
MI7101004262235Z00000X
CA21155235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist