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

Mrs. Lisa Rae Blanton, MS/CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1548362056

Mrs. Lisa Rae Blanton, MS/CCC-SLP is a Speech-Language Pathologist in Jefferson, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2006.

Licensed in
WI
In the registry since
2006

Practice location Address checks out

N3995 Annex Rd
Jefferson, WI 53549-9618
Phone: (920) 674-7386
Fax: (920) 674-6694
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 1265-154 (WI)

Record details

NPI number1548362056
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS/CCC-SLP
Sole proprietorNo
NPI enumeratedSeptember 4, 2006
Last updated in NPPESJuly 8, 2007

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