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NPI Code Detail

MEDICARE: LAUREN CAMER LMT

MEDICARE: LAUREN CAMER LMT
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
1225700000XMassage Therapist227015782IL

General Provider Information

NPI Number : 1649661133
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAUREN CAMER LMT
Provider Business Mailing Address
First Line : 1034 CHEROKEE PL
Second Line :
City : LEMONT
State : IL
Zip : 60439-4310
Country : US
Telephone Number : 773-881-0888
Fax Number :
Provider Business Practice Location Address
First Line : 3301 W 111TH ST
Second Line :
City : CHICAGO
State : IL
Zip : 60655-2715
Country : US
Telephone Number : 773-881-0888
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/05/2015
Last Update Date : 02/05/2015

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Directions to “ LAUREN CAMER LMT” Practice Location

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