Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lara Allison Menke Blomgren

Individual provider Speech-Language Pathologist · NPI 1770136046

Lara Allison Menke Blomgren is a Speech-Language Pathologist in Saint Louis, Missouri. Licensed in Missouri. Registered with an NPI since 2019.

Licensed in
MO
In the registry since
2019
Specialties on file
2

Practice location Address checks out

12110 Clayton Rd
Saint Louis, MO 63131-2599
Phone: (314) 989-8100
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 2022022020 (MO)
Speech-Language Assistant Taxonomy 2355S0801X

Record details

NPI number1770136046
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 16, 2019
Last updated in NPPESNovember 7, 2025
Certification dateNovember 7, 2025
Mailing address5718 Southwest Ave, Saint Louis, MO 63139-1606

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