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NPI Code Detail

MEDICARE: LAURA LYNN MOSENG HSPP

MEDICARE: LAURA LYNN MOSENG HSPP
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
11041C0700XClinical Social Worker20042016AIN

General Provider Information

NPI Number : 1356333587
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURA LYNN MOSENG HSPP
Provider Business Mailing Address
First Line : 8400 LOUISIANA ST
Second Line :
City : MERRILLVILLE
State : IN
Zip : 46410-6385
Country : US
Telephone Number : 219-757-1928
Fax Number : 219-757-1950
Provider Business Practice Location Address
First Line : 8555 TAFT ST
Second Line :
City : MERRILLVILLE
State : IN
Zip : 46410-6123
Country : US
Telephone Number : 219-769-4005
Fax Number : 219-769-2508
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/15/2005
Last Update Date : 07/08/2007

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Directions to “ LAURA LYNN MOSENG HSPP” Practice Location

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