MEDICARE: LAURA R MORGAN MD

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	207RP1001X	Pulmonary Disease Physician	651591	CA

General Provider Information

NPI Number	:	1023096831
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAURA R MORGAN MD

Provider Business Mailing Address
First Line	:	36921 COOK ST
Second Line	:	SUITE 102
City	:	PALM DESERT
State	:	CA
Zip	:	92211-6070
Country	:	US
Telephone Number	:	760-836-9066
Fax Number	:	760-836-9066

Provider Business Practice Location Address
First Line	:	36-921 COOK STREET
Second Line	:	SUITE 102
City	:	PALM DESERT
State	:	CA
Zip	:	92211-6070
Country	:	US
Telephone Number	:	760-836-9066
Fax Number	:	760-836-9066

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

Provider Enumeration Date	:	01/03/2006
Last Update Date	:	07/06/2012

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