Rauckhorst, Lizabeth Anne

Rauckhorst, Lizabeth Anne is an individual health care provider with primary practice located at 14100 Fivay Rd Suite 210, Hudson FL 34667-7180. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Rauckhorst, Lizabeth Anne can be contacted via phone (727) 869-9479.

Contact Information

Primary practice address
14100 Fivay Rd Suite 210 Hudson FL 34667-7180
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SA8042 Florida

Profile Details

NPI number 1710023825
LBN Legal business name Rauckhorst, Lizabeth Anne
Credentials M.S. CCC- SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 29th, 2007
Last updated Jul 4th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710023825 NPPES
Florida MEDICAID 889769700

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