MEDICARE: LAUREEN MOUSSA BAZZI

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	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1215864913
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAUREEN MOUSSA BAZZI

Provider Business Mailing Address
First Line	:	21901 BEECHCREST ST
Second Line	:
City	:	DEARBORN HEIGHTS
State	:	MI
Zip	:	48127-2428
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	21901 BEECHCREST ST
Second Line	:
City	:	DEARBORN HEIGHTS
State	:	MI
Zip	:	48127-2428
Country	:	US
Telephone Number	:	313-694-6753
Fax Number	:

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

Provider Enumeration Date	:	05/06/2026
Last Update Date	:	05/06/2026

Similar Medicare Providers

1467704585 — BELINDA JEANETTE ELAM
Practice Location Address:

21112 GARDENVIEW DR
MAPLE HEIGHTS, OH
44137-2428

Practice Phone: 330-285-1431
Practice Fax:

1528400074 — JENNIFER ABITABILO APN-C
Practice Location Address:

65 TERRACE AVE , APT 1
HASBROUCK HEIGHTS, NJ
07604-2428

Practice Phone: 609-462-7213
Practice Fax:

1093132433 — APRIL STAUFFER
Practice Location Address:

3010 YORKSHIRE RD
CLEVELAND HEIGHTS, OH
44118-2428

Practice Phone: 440-339-5855
Practice Fax:

1104332287 — MR. BRANDON NEIL WRAY LPC
Practice Location Address:

3153 WARRINGTON RD
SHAKER HEIGHTS, OH
44120-2428

Practice Phone: 216-410-5628
Practice Fax:

1043789449 — TEMPLE AVE PHARMACY
Practice Location Address:

2000 SNEAD AVE
COLONIAL HEIGHTS, VA
23834-2428

Practice Phone: 804-526-1000
Practice Fax:

1093352353 — TEMPLE AVE PHARMACY
Practice Location Address:

2000 SNEAD AVE
COLONIAL HEIGHTS, VA
23834-2428

Practice Phone: 804-526-1000
Practice Fax:

Directions to “ LAUREEN MOUSSA BAZZI ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.