Provider Demographics
NPI:1962973453
Name:LAKODUK, JULIA IRENE (MS CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:JULIA
Middle Name:IRENE
Last Name:LAKODUK
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:123 W LINCOLN AVE
Mailing Address - Street 2:SUITE 6
Mailing Address - City:FERGUS FALLS
Mailing Address - State:MN
Mailing Address - Zip Code:56537
Mailing Address - Country:US
Mailing Address - Phone:218-321-0808
Mailing Address - Fax:218-210-7577
Practice Address - Street 1:123 W LINCOLN AVE
Practice Address - Street 2:SUITE 6
Practice Address - City:FERGUS FALLS
Practice Address - State:MN
Practice Address - Zip Code:56537
Practice Address - Country:US
Practice Address - Phone:218-321-0808
Practice Address - Fax:218-210-7577
Is Sole Proprietor?:Yes
Enumeration Date:2018-12-10
Last Update Date:2025-11-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MN529069235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist