Provider Demographics
NPI:1477758944
Name:CURCIO, LAURA JANE (AUD)
Entity Type:Individual
Prefix:DR
First Name:LAURA
Middle Name:JANE
Last Name:CURCIO
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:71 WALNUT BLVD STE 108
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:MI
Mailing Address - Zip Code:48307-2073
Mailing Address - Country:US
Mailing Address - Phone:248-515-6211
Mailing Address - Fax:248-218-2636
Practice Address - Street 1:71 WALNUT BLVD STE 108
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:MI
Practice Address - Zip Code:48307-2073
Practice Address - Country:US
Practice Address - Phone:248-652-1208
Practice Address - Fax:248-218-2636
Is Sole Proprietor?:No
Enumeration Date:2007-06-15
Last Update Date:2022-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI16010000408231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIM23890004Medicare PIN