Provider Demographics
NPI:1962493197
Name:PIERCE, LAURANN BROWN (SLP)
Entity type:Individual
Prefix:MR
First Name:LAURANN
Middle Name:BROWN
Last Name:PIERCE
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:147 LOFTON DR
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28311-3431
Mailing Address - Country:US
Mailing Address - Phone:910-488-5984
Mailing Address - Fax:910-488-5984
Practice Address - Street 1:147 LOFTON DR
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28311-3431
Practice Address - Country:US
Practice Address - Phone:910-488-5984
Practice Address - Fax:910-488-5984
Is Sole Proprietor?:No
Enumeration Date:2005-11-05
Last Update Date:2008-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC271235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist