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NPI Code Detail

MEDICARE: DR. LAURA K MORAN AUD

MEDICARE:  DR. LAURA K MORAN  AUD
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
1231H00000XAudiologist1060WA
2237600000XAudiologist-Hearing Aid FitterLD00001060WA
3231H00000XAudiologistLD00001060WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1DA9845OTHERWAREGENCE BS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1275674582
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LAURA K MORAN AUD
Provider Business Mailing Address
First Line : 9730 3RD AVE NE STE 201
Second Line :
City : SEATTLE
State : WA
Zip : 98115-2023
Country : US
Telephone Number : 206-367-1345
Fax Number : 206-367-1366
Provider Business Practice Location Address
First Line : 500 COLUMBIA ST NW STE 108
Second Line :
City : OLYMPIA
State : WA
Zip : 98501-4447
Country : US
Telephone Number : 360-754-0305
Fax Number : 360-596-9304
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/09/2007
Last Update Date : 05/25/2023

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Directions to “ DR. LAURA K MORAN AUD” Practice Location

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