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NPI Code Detail

MEDICARE: MRS. LAURA THERESE NABOURS

MEDICARE: MRS. LAURA THERESE NABOURS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist2035TN
2235Z00000XSpeech-Language PathologistSAH-2025-0045NM

General Provider Information

NPI Number : 1093803173
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LAURA THERESE NABOURS
Provider Business Mailing Address
First Line : 301 PERKINS DR STE B
Second Line :
City : LAS CRUCES
State : NM
Zip : 88005-3248
Country : US
Telephone Number : 575-647-3773
Fax Number :
Provider Business Practice Location Address
First Line : 1681 HICKORY LOOP
Second Line :
City : LAS CRUCES
State : NM
Zip : 88005-6587
Country : US
Telephone Number : 575-647-3773
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/11/2006
Last Update Date : 04/10/2026

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Directions to “ MRS. LAURA THERESE NABOURS ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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