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NPI Code Detail

MEDICARE: LAUREN NICOTRA MS., CCC-SLP

MEDICARE: LAUREN NICOTRA MS., 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 PathologistSA10708FL

General Provider Information

NPI Number : 1629455605
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAUREN NICOTRA MS., CCC-SLP
Provider Business Mailing Address
First Line : 2056 ALTA MEADOWS LN
Second Line : UNIT 2301
City : DELRAY BEACH
State : FL
Zip : 33444-1183
Country : US
Telephone Number : 954-609-9464
Fax Number :
Provider Business Practice Location Address
First Line : 1717 HOMEWOOD BLVD
Second Line :
City : DELRAY BEACH
State : FL
Zip : 33445-6876
Country : US
Telephone Number : 561-454-5265
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/29/2015
Last Update Date : 04/29/2015

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Directions to “ LAUREN NICOTRA MS., CCC-SLP” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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