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NPI Code Detail

MEDICARE: LAURA NOLAN GUNN CCC-SLP

MEDICARE:   LAURA NOLAN GUNN  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 PathologistNC

General Provider Information

NPI Number : 1326453598
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURA NOLAN GUNN CCC-SLP
Provider Business Mailing Address
First Line : 3901 WRIGHTSVILLE AVE STE 120
Second Line :
City : WILMINGTON
State : NC
Zip : 28403-6256
Country : US
Telephone Number : 910-679-8385
Fax Number :
Provider Business Practice Location Address
First Line : 3901 WRIGHTSVILLE AVE STE 120
Second Line :
City : WILMINGTON
State : NC
Zip : 28403-6256
Country : US
Telephone Number : 910-679-8385
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/26/2014
Last Update Date : 11/20/2020

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Directions to “ LAURA NOLAN GUNN CCC-SLP” Practice Location

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