MEDICARE: LAUREN E LAUR 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	2010002035	MO

General Provider Information

NPI Number	:	1750604500
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAUREN E LAUR SLP

Provider Business Mailing Address
First Line	:	4417 W NORTH PINEBROOK LN
Second Line	:
City	:	COLUMBIA
State	:	MO
Zip	:	65203-0589
Country	:	US
Telephone Number	:	816-914-9960
Fax Number	:

Provider Business Practice Location Address
First Line	:	2001 CORONA RD
Second Line	:	SUITE 205
City	:	COLUMBIA
State	:	MO
Zip	:	65203
Country	:	US
Telephone Number	:	816-914-9960
Fax Number	:

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

Provider Enumeration Date	:	03/09/2010
Last Update Date	:	03/16/2016

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Directions to “ LAUREN E LAUR SLP” Practice Location

Language	Start Address	Practice Location

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