NICHOLE LACKMANN

BRANDON, FL
NPI1437497690
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: FL  SZ6133)
Additional Taxonomies222Q00000X Developmental Therapist
Enumeration Date2013-01-23
Last Update Date2015-03-09
Business Address
-- NICHOLE LACKMANN
602 VONDERBURG DR SUITE 201
BRANDON, FL 33511-5900
Phone number: 813-653-1149
Mailing Address
-- NICHOLE LACKMANN
602 VONDERBURG DR SUITE 201
BRANDON, FL 33511-5900
Phone number: 813-653-1149