Mrs Laura Katherine Mangrum, is a
Student In An Organized Health Care Education/training Program based in Kennett Square, Pennsylvania. Mrs Laura Katherine Mangrum is licensed to practice in * (Not Available) (license number ) and her current practice location is
101 E State St, Kennett Square, Pennsylvania. She can be reached at her office (for appointments etc.) via phone at
(256) 381-4330.
NPI number for Mrs Laura Katherine Mangrum is 1609258342 and her current mailing address is 316 Estella Ct, Florence, Alabama. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1609258342.
Healthcare Provider's Profile
| Full Name | Mrs Laura Katherine Mangrum |
|---|
| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 101 E State St, Kennett Square, Pennsylvania |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1609258342
- Provider Enumeration Date: 06/18/2015
- Last Update Date: 06/18/2015
Medical Identifiers
Medical identifiers for Mrs Laura Katherine Mangrum such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1609258342 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Laura Katherine Mangrum is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mrs Laura Katherine Mangrum,
316 Estella Ct,
Florence, AL 35630-2874
Ph: (931) 607-3386 | Mrs Laura Katherine Mangrum,
101 E State St,
Kennett Square, PA 19348-3109
Ph: (256) 381-4330 |
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