MEDICARE: LAURA PATRICIA OSEGUERA

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	347C00000X	Private Vehicle
2	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1538979000
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAURA PATRICIA OSEGUERA

Provider Business Mailing Address
First Line	:	2425 N CENTER ST # 122
Second Line	:
City	:	HICKORY
State	:	NC
Zip	:	28601-1320
Country	:	US
Telephone Number	:	828-999-8322
Fax Number	:

Provider Business Practice Location Address
First Line	:	2425 N CENTER ST # 122
Second Line	:
City	:	HICKORY
State	:	NC
Zip	:	28601-1320
Country	:	US
Telephone Number	:	828-999-8322
Fax Number	:

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

Provider Enumeration Date	:	01/08/2025
Last Update Date	:	01/08/2025

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Directions to “ LAURA PATRICIA OSEGUERA ” Practice Location

Language	Start Address	Practice Location

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