Laura Bradshaw, MS/CCC-SLP - Pediatrics in Lake Wylie, SC

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Laura Bradshaw, MS/CCC-SLP is a Pediatrics physician based in Lake Wylie, South Carolina. Laura Bradshaw is licensed to practice in South Carolina (license number 6812) and her current practice location is 252 Latitude Ln Ste 103, Lake Wylie, South Carolina. She can be reached at her office (for appointments etc.) via phone at (803) 818-0218.

NPI number for Laura Bradshaw is 1538772017 and her current mailing address is 512 Red Wolf Ln, Clover, South Carolina. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1538772017.

Contact Information

Laura Bradshaw, MS/CCC-SLP
252 Latitude Ln Ste 103,
Lake Wylie, SC 29710-8152
(803) 818-0218
Not Available

Map and Direction




Physician's Profile

Full NameLaura Bradshaw
GenderFemale
SpecialityPediatrics
Location252 Latitude Ln Ste 103, Lake Wylie, South Carolina
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1538772017
  • Provider Enumeration Date: 08/25/2020
  • Last Update Date: 08/25/2020

Medical Identifiers

Medical identifiers for Laura Bradshaw such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1538772017NPI-NPPES
GP5559MedicaidSC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 6812 (South Carolina)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. Laura Bradshaw 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 AddressPractice Location Address
Laura Bradshaw, MS/CCC-SLP
512 Red Wolf Ln,
Clover, SC 29710-6728

Ph: (724) 664-6945		Laura Bradshaw, MS/CCC-SLP
252 Latitude Ln Ste 103,
Lake Wylie, SC 29710-8152

Ph: (803) 818-0218

Reviews and Comments


Pediatrics Doctors in Lake Wylie, SC


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