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NPI Code Detail

MEDICARE: MRS. LAURA LEE TARABOCCHIA NP

MEDICARE:  MRS. LAURA LEE TARABOCCHIA  NP
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
1363LF0000XFamily Nurse Practitioner675016TX

General Provider Information

NPI Number : 1528210762
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LAURA LEE TARABOCCHIA NP
Provider Business Mailing Address
First Line : 4015 I H 45 N STE 220
Second Line :
City : CONROE
State : TX
Zip : 77304-5076
Country : US
Telephone Number : 936-441-1122
Fax Number : 936-788-9151
Provider Business Practice Location Address
First Line : 4015 I H 45 N STE 220
Second Line :
City : CONROE
State : TX
Zip : 77304-5076
Country : US
Telephone Number : 936-441-1122
Fax Number : 936-788-9151
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/21/2008
Last Update Date : 01/09/2024

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Directions to “ MRS. LAURA LEE TARABOCCHIA NP” Practice Location

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