Provider Demographics
NPI:1851641781
Name:ALLRED, LANA LOUISE (SLP)
Entity Type:Individual
Prefix:MRS
First Name:LANA
Middle Name:LOUISE
Last Name:ALLRED
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3427 CR 4845
Mailing Address - Street 2:
Mailing Address - City:LEONARD
Mailing Address - State:TX
Mailing Address - Zip Code:75452
Mailing Address - Country:US
Mailing Address - Phone:972-342-0560
Mailing Address - Fax:
Practice Address - Street 1:2904 ROPER DR
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75025-2413
Practice Address - Country:US
Practice Address - Phone:972-342-0560
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-09-18
Last Update Date:2022-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX103455235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist