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NPI Code Detail

MEDICARE: LAUREN PIETRASKO

MEDICARE:   LAUREN  PIETRASKO
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 Pathologist10858MD

General Provider Information

NPI Number : 1215714365
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAUREN PIETRASKO
Provider Business Mailing Address
First Line : 8120 MEADOWGATE CIR
Second Line :
City : GLEN BURNIE
State : MD
Zip : 21060-8484
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7 GWYNNS MILL CT STE I
Second Line :
City : OWINGS MILLS
State : MD
Zip : 21117-3528
Country : US
Telephone Number : 410-849-9496
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/12/2023
Last Update Date : 11/10/2023

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Directions to “ LAUREN PIETRASKO ” Practice Location

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