Mary Lisa Laches, M.S.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA 4467 Issued in FL

Practice address

2125 Harden Blvd
Lakeland, FL 33803-5918

Phone

(863) 687-1189

NPI assigned

Mar 1, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359936000000",
    "number": "1942338181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18012 FOREST RETREAT LN",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336473165",
            "telephone_number": "813-907-0284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2125 HARDEN BLVD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338035918",
            "telephone_number": "863-687-1189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACHES",
        "first_name": "MARY LISA",
        "name_prefix": "Ms.",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-01",
        "last_updated": "2013-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA 4467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madelyn Laboy, A.R.N.P
• Sonia Laboy
• Osmel Labrada-Viera, APRN
• Jeremy Euan Labrador, SLPA
• Jorge L Lacen, M.D.
• Babray Laek, MD
• Amber Laferrara, COTA
• John M Lafferty, MD
• Levi Lafferty
• Megan Laga, DMD

• Speech-Language Pathologist in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.