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NPI Code Detail

MEDICARE: LAUREN GRACE BELT

MEDICARE: LAUREN GRACE BELT
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 : 1861130890
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAUREN GRACE BELT
Provider Business Mailing Address
First Line : 3174 BIRCH CREEK DR
Second Line :
City : METROPOLIS
State : IL
Zip : 62960-2822
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3235 OLIVET CHURCH RD STE D
Second Line :
City : PADUCAH
State : KY
Zip : 42001-9545
Country : US
Telephone Number : 270-443-5712
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/20/2022
Last Update Date : 07/05/2023

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Directions to “ LAUREN GRACE BELT ” 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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