MEDICARE: LAURA MORTON BC-HIS

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	237700000X	Hearing Instrument Specialist	HA7927	CA
2	237700000X	Hearing Instrument Specialist	HAS-3161	NV

General Provider Information

NPI Number	:	1639736077
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAURA MORTON BC-HIS

Provider Business Mailing Address
First Line	:	2642 W HORIZON RIDGE PKWY STE A11
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89052-2873
Country	:	US
Telephone Number	:	702-933-9102
Fax Number	:	702-933-9102

Provider Business Practice Location Address
First Line	:	2642 W HORIZON RIDGE PKWY STE A11
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89052-2873
Country	:	US
Telephone Number	:	702-933-9102
Fax Number	:	702-933-9106

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

Provider Enumeration Date	:	05/21/2019
Last Update Date	:	02/08/2023

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