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NPI Code Detail

MEDICARE: LAUREN STUART

MEDICARE: LAUREN STUART
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1224Z00000XOccupational Therapy Assistant
2225X00000XOccupational Therapist17182NC

General Provider Information

NPI Number : 1144737271
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAUREN STUART
Provider Business Mailing Address
First Line : PO BOX 354
Second Line :
City : WEST END
State : NC
Zip : 27376-0354
Country : US
Telephone Number : 910-673-5437
Fax Number : 910-673-5438
Provider Business Practice Location Address
First Line : 1120 7 LAKES DR
Second Line :
City : WEST END
State : NC
Zip : 27376-9082
Country : US
Telephone Number : 910-673-5437
Fax Number : 910-673-5438
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/10/2018
Last Update Date : 10/24/2024

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Directions to “ LAUREN STUART ” Practice Location

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