Lakyn Elise Vavruska

Individual provider Active NPI Speech-Language Pathologist · Strafford, MO

NPI 1134045362 · NPPES record last updated Jun 24, 2026

Key facts

NPI
1134045362
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
2026028959 (MO)
Practice address
310 W McCabe St
Strafford, MO 65757-8206
Phone
(417) 736-7000
NPI assigned
Jun 24, 2026
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Lester E Cox Medical Centers Past
since Aug 2, 2020
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 2026028959 MO Yes

Addresses

Primary practice location

310 W McCabe St
Strafford, MO 65757-8206

Mailing address

568 Straight Rd
Conway, MO 65632-7120
Phone (417) 241-3704

Other providers in Strafford, MO

All providers in Strafford, MO · Speech-Language Pathologist in Missouri

Sources for this page

Verify at the official NPI Registry.