Healthcare Provider Details

I. General information

NPI: 1285273896
Provider Name (Legal Business Name): LAUREN NICOLE BROWN VI COTA/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/30/2019
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4691 WINDFALL RD
MEDINA OH
44256-8705
US

IV. Provider business mailing address

7660 POND BROOK LN
MACEDONIA OH
44056-2358
US

V. Phone/Fax

Practice location:
  • Phone: 330-725-7751
  • Fax:
Mailing address:
  • Phone: 904-206-2702
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License NumberOTA007703
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: