Provider Demographics
NPI:1962968479
Name:FORET, LAUREN B (MS, CCC-SLP)
Entity type:Individual
Prefix:MS
First Name:LAUREN
Middle Name:B
Last Name:FORET
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:LAUREN
Other - Middle Name:E
Other - Last Name:BROCHARD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, CCC-SLP
Mailing Address - Street 1:182 RUE CLAUDET
Mailing Address - Street 2:
Mailing Address - City:LOCKPORT
Mailing Address - State:LA
Mailing Address - Zip Code:70374-3300
Mailing Address - Country:US
Mailing Address - Phone:985-859-3842
Mailing Address - Fax:
Practice Address - Street 1:182 RUE CLAUDET
Practice Address - Street 2:
Practice Address - City:LOCKPORT
Practice Address - State:LA
Practice Address - Zip Code:70374-3300
Practice Address - Country:US
Practice Address - Phone:985-859-3842
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-20
Last Update Date:2022-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA7428235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist