Provider Demographics
NPI:1982225108
Name:LAMANGAN, JANNEL
Entity Type:Individual
Prefix:
First Name:JANNEL
Middle Name:
Last Name:LAMANGAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7828 DAY CREEK BLVD APT 1126
Mailing Address - Street 2:
Mailing Address - City:RANCHO CUCAMONGA
Mailing Address - State:CA
Mailing Address - Zip Code:91739-8580
Mailing Address - Country:US
Mailing Address - Phone:951-333-4812
Mailing Address - Fax:
Practice Address - Street 1:7828 DAY CREEK BLVD APT 1126
Practice Address - Street 2:
Practice Address - City:RANCHO CUCAMONGA
Practice Address - State:CA
Practice Address - Zip Code:91739-8580
Practice Address - Country:US
Practice Address - Phone:951-333-4812
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-28
Last Update Date:2020-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant