Provider Demographics
NPI:1184486292
Name:LANNAN, VERONICA M
Entity type:Individual
Prefix:
First Name:VERONICA
Middle Name:M
Last Name:LANNAN
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 1:1221 WHITEMOSS DR
Mailing Address - Street 2:
Mailing Address - City:HUTTO
Mailing Address - State:TX
Mailing Address - Zip Code:78634-5549
Mailing Address - Country:US
Mailing Address - Phone:512-971-3812
Mailing Address - Fax:
Practice Address - Street 1:10900 RESEARCH BLVD STE 100C
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78759-5772
Practice Address - Country:US
Practice Address - Phone:512-487-5665
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-24
Last Update Date:2024-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX81135237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist