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NPI Code Detail

MEDICARE: LAUREN ANDERSON DPT

MEDICARE: LAUREN ANDERSON 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
1225100000XPhysical Therapist
22251X0800XOrthopedic Physical Therapist2305209720VA
3225100000XPhysical Therapist2305209720VA

General Provider Information

NPI Number : 1316313257
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAUREN ANDERSON DPT
Provider Business Mailing Address
First Line : 1115 BOULDERS PKWY STE 200
Second Line :
City : NORTH CHESTERFIELD
State : VA
Zip : 23225-4067
Country : US
Telephone Number : 804-327-9242
Fax Number : 804-327-9812
Provider Business Practice Location Address
First Line : 8270 WILLOW OAKS CORPORATE DR STE 700
Second Line :
City : FAIRFAX
State : VA
Zip : 22031-4529
Country : US
Telephone Number : 703-810-5200
Fax Number : 703-810-5406
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/14/2015
Last Update Date : 03/16/2022

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Directions to “ LAUREN ANDERSON DPT” Practice Location

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