MEDICARE: MRS. LAURA LYNN GRAFF M.S.

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	SZ6691	FL

General Provider Information

NPI Number	:	1598170979
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. LAURA LYNN GRAFF M.S.

Provider Business Mailing Address
First Line	:	6150 DIAMOND CENTRE CT
Second Line	:	SUITE 203
City	:	FORT MYERS
State	:	FL
Zip	:	33912-4368
Country	:	US
Telephone Number	:	239-482-3154
Fax Number	:

Provider Business Practice Location Address
First Line	:	6150 DIAMOND CENTRE CT
Second Line	:	SUITE 203
City	:	FORT MYERS
State	:	FL
Zip	:	33912-4368
Country	:	US
Telephone Number	:	239-482-3154
Fax Number	:

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

Provider Enumeration Date	:	06/24/2014
Last Update Date	:	06/24/2014

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