Healthcare Provider Details

I. General information

NPI: 1326629908
Provider Name (Legal Business Name): LAUREN STREMPLEWSKI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/15/2021
Last Update Date: 04/15/2021
Certification Date: 04/15/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12800 MISSISSIPPI PKWY
CROWN POINT IN
46307-6900
US

IV. Provider business mailing address

5720 GULL DR
SCHERERVILLE IN
46375-4454
US

V. Phone/Fax

Practice location:
  • Phone: 219-921-1444
  • Fax:
Mailing address:
  • Phone: 219-776-5915
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: