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NPI Code Detail

MEDICARE: LAURA S. ALLEN M.D.

MEDICARE:   LAURA S. ALLEN  M.D.
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
1207Q00000XFamily Medicine PhysicianU2135TX
2207Q00000XFamily Medicine Physician01076279AIN
3207Q00000XFamily Medicine Physician33692KY

Other Identifiers

General Provider Information

NPI Number : 1386762714
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURA S. ALLEN M.D.
Provider Business Mailing Address
First Line : 6101 BLUE LAGOON DR STE 200
Second Line :
City : MIAMI
State : FL
Zip : 33126-3168
Country : US
Telephone Number : 407-533-6836
Fax Number : 407-770-0661
Provider Business Practice Location Address
First Line : 1105 OAK ST STE A
Second Line :
City : JOURDANTON
State : TX
Zip : 78026-2117
Country : US
Telephone Number : 830-769-2181
Fax Number : 830-769-2858
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/26/2007
Last Update Date : 03/26/2026

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Directions to “ LAURA S. ALLEN M.D.” Practice Location

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