MEDICARE: MRS. LAURA MICHELLE EASTER M.S.

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	235Z00000X	Speech-Language Pathologist	106886	TX

General Provider Information

NPI Number	:	1326335449
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. LAURA MICHELLE EASTER M.S.

Provider Business Mailing Address
First Line	:	555 ROUND ROCK WEST DR # D
Second Line	:	SUITE 100
City	:	ROUND ROCK
State	:	TX
Zip	:	78681-5052
Country	:	US
Telephone Number	:	512-244-6623
Fax Number	:

Provider Business Practice Location Address
First Line	:	555 ROUND ROCK WEST DR # D
Second Line	:	SUITE 100
City	:	ROUND ROCK
State	:	TX
Zip	:	78681-5052
Country	:	US
Telephone Number	:	512-244-6623
Fax Number	:	512-244-7758

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

Provider Enumeration Date	:	07/10/2011
Last Update Date	:	07/10/2011

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Directions to “ MRS. LAURA MICHELLE EASTER M.S.” Practice Location

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