Provider Demographics
NPI:1932656634
Name:CLAIBORNE, LAURA STURGILL (MS, CCC/SLP)
Entity Type:Individual
Prefix:MRS
First Name:LAURA
Middle Name:STURGILL
Last Name:CLAIBORNE
Suffix:
Gender:F
Credentials:MS, CCC/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:544 CLAYMONT DR
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40503-2202
Mailing Address - Country:US
Mailing Address - Phone:859-619-7751
Mailing Address - Fax:
Practice Address - Street 1:544 CLAYMONT DR
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40503-2202
Practice Address - Country:US
Practice Address - Phone:859-619-7751
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-09
Last Update Date:2016-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY171071235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist