MEDICARE: LAUREN DRORY 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
1	235Z00000X	Speech-Language Pathologist	112194	TX

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

General Provider Information

NPI Number	:	1730689233
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAUREN DRORY MS CCC-SLP

Provider Business Mailing Address
First Line	:	4026 TRAVIS ST UNIT E
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75204-7569
Country	:	US
Telephone Number	:	713-412-1236
Fax Number	:

Provider Business Practice Location Address
First Line	:	8100 LOMO ALTO DR STE 125
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75225-5897
Country	:	US
Telephone Number	:	713-412-1236
Fax Number	:

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

Provider Enumeration Date	:	02/20/2018
Last Update Date	:	02/20/2018

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