Healthcare Provider Details

I. General information

NPI: 1720452519
Provider Name (Legal Business Name): LAUREN HOWARD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/17/2015
Last Update Date: 08/06/2024
Certification Date: 08/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

850 STONY FORT RD
SAUNDERSTOWN RI
02874-1003
US

IV. Provider business mailing address

179 ORCHARD WOODS DR
SAUNDERSTOWN RI
02874-2143
US

V. Phone/Fax

Practice location:
  • Phone: 401-783-8282
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT01477
License Number StateRI
# 2
Primary TaxonomyY
Taxonomy Code171W00000X
TaxonomyContractor
License NumberOT01477
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: