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NPI Code Detail

MEDICARE: LAUREN EITEL

MEDICARE: LAUREN EITEL
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
1390200000XStudent in an Organized Health Care Education/Training Program
2235Z00000XSpeech-Language Pathologist18713FL

General Provider Information

NPI Number : 1992196851
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAUREN EITEL
Provider Business Mailing Address
First Line : 1499 S FEDERAL HWY UNIT 108
Second Line :
City : BOYNTON BEACH
State : FL
Zip : 33435-6074
Country : US
Telephone Number : 732-610-2737
Fax Number :
Provider Business Practice Location Address
First Line : 1717 HOMEWOOD BLVD
Second Line :
City : DELRAY BEACH
State : FL
Zip : 33445-6876
Country : US
Telephone Number : 888-701-0939
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/13/2015
Last Update Date : 09/08/2021

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Directions to “ LAUREN EITEL ” Practice Location

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