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NPI Code Detail

MEDICARE: LAURA ELIZABETH ANDREWS

MEDICARE: LAURA ELIZABETH ANDREWS
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
1171M00000XCase Manager/Care Coordinator
2103K00000XBehavior AnalystLA

General Provider Information

NPI Number : 1265702310
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURA ELIZABETH ANDREWS
Provider Business Mailing Address
First Line : 500 FAIRWAY DR STE 102
Second Line :
City : DEERFIELD BEACH
State : FL
Zip : 33441-1817
Country : US
Telephone Number : 877-418-2978
Fax Number : 866-500-2186
Provider Business Practice Location Address
First Line : 4201 N I 10 SERVICE RD W
Second Line :
City : METAIRIE
State : LA
Zip : 70006-6713
Country : US
Telephone Number : 504-302-3543
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/06/2012
Last Update Date : 05/26/2021

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Directions to “ LAURA ELIZABETH ANDREWS ” Practice Location

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