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NPI Code Detail

MEDICARE: LEA ANNE MOORE SCHMIDT

MEDICARE:   LEA ANNE MOORE SCHMIDT
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 Pathologist

General Provider Information

NPI Number : 1699607796
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEA ANNE MOORE SCHMIDT
Provider Business Mailing Address
First Line : 360 COLBORNE ST
Second Line :
City : SAINT PAUL
State : MN
Zip : 55102-3299
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 360 COLBORNE ST
Second Line :
City : SAINT PAUL
State : MN
Zip : 55102-3299
Country : US
Telephone Number : 612-751-2423
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2026
Last Update Date : 06/02/2026

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Directions to “ LEA ANNE MOORE SCHMIDT ” Practice Location

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