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NPI Code Detail

MEDICARE: MRS. LAURA HARMON LOVELESS M.S. CCC-SLP

MEDICARE:  MRS. LAURA HARMON LOVELESS  M.S. 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
1235Z00000XSpeech-Language Pathologist2202006220VA
2235Z00000XSpeech-Language Pathologist4040CT

General Provider Information

NPI Number : 1194733295
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LAURA HARMON LOVELESS M.S. CCC-SLP
Provider Business Mailing Address
First Line : 4301 FOREMAN TRL
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23456-8015
Country : US
Telephone Number : 757-447-3463
Fax Number : 757-447-3462
Provider Business Practice Location Address
First Line : 4301 FOREMAN TRL
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23456-8015
Country : US
Telephone Number : 757-447-3463
Fax Number : 757-447-3462
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/04/2006
Last Update Date : 02/25/2011

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Directions to “ MRS. LAURA HARMON LOVELESS M.S. CCC-SLP” Practice Location

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