MEDICARE: LAURA A. YAUCH MD

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	207Q00000X	Family Medicine Physician	ME95298	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1407807779
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAURA A. YAUCH MD

Provider Business Mailing Address
First Line	:	1002 N ARNOLD RD UNIT 102
Second Line	:
City	:	PANAMA CITY BEACH
State	:	FL
Zip	:	32413-2524
Country	:	US
Telephone Number	:	850-234-3087
Fax Number	:

Provider Business Practice Location Address
First Line	:	1002 N ARNOLD RD UNIT 102
Second Line	:
City	:	PANAMA CITY BEACH
State	:	FL
Zip	:	32413-2524
Country	:	US
Telephone Number	:	850-234-3087
Fax Number	:

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

Provider Enumeration Date	:	05/12/2006
Last Update Date	:	09/14/2025

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