Laura Lee Moran, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA6764 Issued in FL

Practice address

648 Bluebird CT
Lake Mary, FL 32746-3927

Phone

(321) 363-6675

NPI assigned

Jan 29, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lexicon Therapy, Inc

  dba Lake Mary Pediatric Therapy

  • Clinic/Center
  • Lake Mary, FL
  • NPI 1790025138

  Speech-Language Pathologist

  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361404800000",
    "number": "1043356991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "648 BLUEBIRD CT",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327463927",
            "telephone_number": "321-363-6675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "648 BLUEBIRD CT",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327463927",
            "telephone_number": "321-363-6675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORAN",
        "first_name": "LAURA",
        "middle_name": "LEE",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-29",
        "last_updated": "2013-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA6764",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "892485600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eric A Moore, MD
• Taylor R Moore, PA
• Cristina Moraes
• Ivonne Morales
• Teresa Morales, LMHC
• Steve Moreau, A.P.
• Andres Jose Moreno Patino, RBT
• Gloribel Moreno Rodriguez, RMHCI
• Chelsea Morgan, LMHC
• Ilene Morgan, PA-C

• Speech-Language Pathologist in Lake Mary, FL
• Providers in Lake Mary, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.