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

MS. Lauren Jack, MSCCC-SLP

Individual provider Speech-Language Pathologist · NPI 1790173656

MS. Lauren Jack, MSCCC-SLP is a Speech-Language Pathologist in Lake Lotawana, Missouri. Practices as a sole proprietor. Licensed in Kansas.

Licensed in
KS
In the registry since
2014

Practice location Address checks out

53 R St
Lake Lotawana, MO 64086-9429
Phone: (816) 213-5943
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 3301 (KS)

Record details

NPI number1790173656
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSCCC-SLP
Sole proprietorYes
NPI enumeratedDecember 30, 2014
Last updated in NPPESDecember 30, 2014