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NPI Code Detail

MEDICARE: DR. LAUREN E HUMMELL PT, DPT.

MEDICARE: DR. LAUREN E HUMMELL PT, 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 Therapist042036-1NY

General Provider Information

NPI Number : 1790202752
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LAUREN E HUMMELL PT, DPT.
Provider Business Mailing Address
First Line : 248 E 73RD ST
Second Line :
City : NEW YORK
State : NY
Zip : 10021-4303
Country : US
Telephone Number : 212-717-8330
Fax Number : 212-717-6235
Provider Business Practice Location Address
First Line : 1065 E TUCSON MARKETPLACE BLVD STE 155
Second Line :
City : TUCSON
State : AZ
Zip : 85713-6563
Country : US
Telephone Number : 520-822-8640
Fax Number : 520-822-8641
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/29/2017
Last Update Date : 05/19/2022

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Directions to “ DR. LAUREN E HUMMELL PT, DPT.” Practice Location

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