MEDICARE: DR. LAUREN EMILY STERN CCC-SLP

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
1	235Z00000X	Speech-Language Pathologist	SA19146	FL

General Provider Information

NPI Number	:	1194408252
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LAUREN EMILY STERN CCC-SLP

Provider Business Mailing Address
First Line	:	2680 N ORANGE AVE APT 1524
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32804-4740
Country	:	US
Telephone Number	:	615-574-5457
Fax Number	:

Provider Business Practice Location Address
First Line	:	2680 N ORANGE AVE APT 1524
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32804-4740
Country	:	US
Telephone Number	:	615-574-5457
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/07/2023
Last Update Date	:	08/07/2023

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Directions to “ DR. LAUREN EMILY STERN CCC-SLP” Practice Location

Language	Start Address	Practice Location

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