MEDICARE: MS. LAURA ANN AUBIN M.A., CCC-A

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	231H00000X	Audiologist	1601000486	MI

General Provider Information

NPI Number	:	1295986867
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. LAURA ANN AUBIN M.A., CCC-A

Provider Business Mailing Address
First Line	:	1202 WALTON BLVD STE 201
Second Line	:
City	:	ROCHESTER
State	:	MI
Zip	:	48307-6918
Country	:	US
Telephone Number	:	248-652-0044
Fax Number	:	248-652-1884

Provider Business Practice Location Address
First Line	:	1202 WALTON BLVD STE 201
Second Line	:
City	:	ROCHESTER
State	:	MI
Zip	:	48307-6918
Country	:	US
Telephone Number	:	248-652-0044
Fax Number	:	248-652-1884

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

Provider Enumeration Date	:	10/01/2008
Last Update Date	:	07/21/2022

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