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NPI Code Detail

MEDICARE: LAUREN COBB DPT

MEDICARE: LAUREN COBB DPT
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
12251P0200XPediatric Physical Therapist

General Provider Information

NPI Number : 1285566448
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAUREN COBB DPT
Provider Business Mailing Address
First Line : 4567 W PINE BLVD APT 330
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63108-2182
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2122 TROY RD
Second Line :
City : EDWARDSVILLE
State : IL
Zip : 62025-2540
Country : US
Telephone Number : 618-800-4620
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2026
Last Update Date : 06/02/2026

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