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NPI Code Detail

MEDICARE: LAUREN HOLMES MSOT, OTR/L

MEDICARE: LAUREN HOLMES MSOT, OTR/L
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
1225X00000XOccupational Therapist7572TN

General Provider Information

NPI Number : 1164260543
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAUREN HOLMES MSOT, OTR/L
Provider Business Mailing Address
First Line : 1107 AMBERLY WAY
Second Line :
City : LEBANON
State : TN
Zip : 37090-3001
Country : US
Telephone Number : 217-257-4182
Fax Number :
Provider Business Practice Location Address
First Line : 630 MELROSE AVE
Second Line :
City : NASHVILLE
State : TN
Zip : 37211-2161
Country : US
Telephone Number : 615-832-8955
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/18/2024
Last Update Date : 01/29/2026

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