Most Relevant Information
Provider Data
| NPI Number: | 1003181603 |
| Provider Name: | LESLEE COTHRAN M.A. CCC-SLP |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/14/2012 |
| Last Updated: | 03/14/2012 |
Provider Practice Location
5400 S PENNSYLVANIA AVE
LANSING
MI
489114049
Practice Location Phone/Fax
| Phone: | 5173937325 |
| Fax: |
Provider Mailing Location
432 W GRAND RIVER AVE
OKEMOS
MI
488643100
Provider Mailing Phone/Fax
| Phone: | 5172901390 |
| Fax: |