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NPI Code Detail

MEDICARE: LAUREN LANDRY COREY MA CCC-SLP

MEDICARE: LAUREN LANDRY COREY MA 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
1235Z00000XSpeech-Language Pathologist4010KS
2235Z00000XSpeech-Language Pathologist2018008589MO

General Provider Information

NPI Number : 1487135224
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAUREN LANDRY COREY MA CCC-SLP
Provider Business Mailing Address
First Line : 10000 WORNALL RD
Second Line :
City : KANSAS CITY
State : MO
Zip : 64114-4359
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 10000 WORNALL RD
Second Line :
City : KANSAS CITY
State : MO
Zip : 64114-4359
Country : US
Telephone Number : 816-442-3235
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/28/2018
Last Update Date : 08/28/2018

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Directions to “ LAUREN LANDRY COREY MA CCC-SLP” Practice Location

Language Start Address Practice Location
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