Most Relevant Information
Provider Data
| NPI Number: | 1003446758 |
| Provider Name: | LAUREN MICHELLE HEIMBUECHER |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | 146013646 |
Most Important Dates
| Enumeration Date: | 01/22/2020 |
| Last Updated: | 01/22/2020 |
Provider Practice Location
723 INSIGHT AVE STE 300
O FALLON
IL
622692193
Practice Location Phone/Fax
| Phone: | 6186070086 |
| Fax: |
Provider Mailing Location
1008 GRASSLAND CT
SHILOH
IL
622213549
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |