Lauren A Lambdin, M.S., CCC-SLP

Individual provider Active NPI Speech-Language Pathologist · Rockton, IL

NPI 1922522200 · NPPES record last updated May 20, 2020

Key facts

NPI
1922522200
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
146014448 (IL)
Practice address
11971 Wagon Wheel Rd
Rockton, IL 61072-3322
Phone
(815) 624-2615
NPI assigned
Jul 28, 2017
Sex
Female
Sole proprietor
Yes

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)
Yes
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
146014448ILMDSpeech-Language Pathologist
242004557ILMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Winnebago Co SP Ed Coop Current
since Jun 18, 2023
Accepting new patients

Locations

11971 Wagon Wheel Rd
Rockton, IL 61072
Phone (815) 624-2516

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 242004557 IL
Speech-Language Pathologist 235Z00000X 146014448 IL Yes

Addresses

Primary practice location

11971 Wagon Wheel Rd
Rockton, IL 61072-3322

Mailing address

7647 Larwinn Dr
Rockford, IL 61107-5222

Other practice location 1

2400 N Rockton Ave
Rockford, IL 61103-3655
Phone (815) 971-5022

Other names

  • Lauren A Casdorph-Carranza Former name

Other providers in Rockton, IL

All providers in Rockton, IL · Speech-Language Pathologist in Illinois

Sources for this page

Verify at the official NPI Registry.