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

Individual provider Speech-Language Pathologist · NPI 1366073629

MS. Lara Buck Antolik, SLP is a Speech-Language Pathologist in Saint Louis, Missouri. Licensed in Missouri. Registered with an NPI since 2020.

Licensed in
MO
In the registry since
2020
What do these letters mean?
SLP — Speech-Language Pathologist
Treats speech, language and swallowing disorders.

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Practice location Address checks out

4455 Duncan Ave Dept Physical Therapy
Saint Louis, MO 63110-1111
Phone: (314) 286-1940
Fax: (314) 286-1473
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 2015033921 (MO)

Record details

NPI number1366073629
Entity typeIndividual (Type 1)
GenderFemale
Credentials SLP
Sole proprietorNo
NPI enumeratedJanuary 27, 2020
Last updated in NPPESNovember 15, 2021
Certification dateJanuary 27, 2020

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