MEDICARE: LAUREN BEARD

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
1	225200000X	Physical Therapy Assistant	A7503	NC

General Provider Information

NPI Number	:	1891552857
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAUREN BEARD

Provider Business Mailing Address
First Line	:	164 RIVERVIEW TOWNHOUSE DR
Second Line	:
City	:	ADVANCE
State	:	NC
Zip	:	27006-7651
Country	:	US
Telephone Number	:	336-971-7850
Fax Number	:

Provider Business Practice Location Address
First Line	:	164 RIVERVIEW TOWNHOUSE DR
Second Line	:
City	:	ADVANCE
State	:	NC
Zip	:	27006-7651
Country	:	US
Telephone Number	:	336-971-7850
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/05/2024
Last Update Date	:	03/05/2024

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Directions to “ LAUREN BEARD ” Practice Location

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