MEDICARE: LAURALEE J LARKIN

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	SLP4874	AZ

General Provider Information

NPI Number	:	1942323951
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAURALEE J LARKIN

Provider Business Mailing Address
First Line	:	1110 E PRESS RD
Second Line	:
City	:	SAN TAN VALLEY
State	:	AZ
Zip	:	85140-5425
Country	:	US
Telephone Number	:	480-245-8577
Fax Number	:

Provider Business Practice Location Address
First Line	:	1110 E PRESS RD
Second Line	:
City	:	SAN TAN VALLEY
State	:	AZ
Zip	:	85140-5425
Country	:	US
Telephone Number	:	480-245-8577
Fax Number	:

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

Provider Enumeration Date	:	04/06/2007
Last Update Date	:	07/30/2024

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Directions to “ LAURALEE J LARKIN ” Practice Location

Language	Start Address	Practice Location

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