MEDICARE: MRS. LAUREN PONTOPPIDAN STRAUGHAN M.A., 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
1	235Z00000X	Speech-Language Pathologist	6977	LA

General Provider Information

NPI Number	:	1770040768
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. LAUREN PONTOPPIDAN STRAUGHAN M.A., CCC-SLP

Provider Business Mailing Address
First Line	:	1036 HESPER AVE
Second Line	:
City	:	METAIRIE
State	:	LA
Zip	:	70005-1552
Country	:	US
Telephone Number	:	504-717-6008
Fax Number	:

Provider Business Practice Location Address
First Line	:	1036 HESPER AVE
Second Line	:
City	:	METAIRIE
State	:	LA
Zip	:	70005-1552
Country	:	US
Telephone Number	:	504-717-6008
Fax Number	:

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

Provider Enumeration Date	:	02/26/2019
Last Update Date	:	10/19/2022

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Directions to “ MRS. LAUREN PONTOPPIDAN STRAUGHAN M.A., CCC-SLP” Practice Location

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