LANE ENTREKIN

RIVERTON, UT
NPI1508052325
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: CA  SP 11232)
Enumeration Date2007-09-16
Last Update Date2010-07-28
Business Address
Mr. LANE ENTREKIN CCC-SLP
13762 S 3160 W
RIVERTON, UT 84065-5901
Phone number: 801-243-5544
Mailing Address
Mr. LANE ENTREKIN CCC-SLP
13762 S 3160 W
RIVERTON, UT 84065-5901
Phone number: 801-243-5544