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General NPI Number Information
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NPI Number | 1790454312
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Entity Type | Organization
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Legal Business Name | LAUREN LOBERT PHYSICAL THERAPY LLC
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Dates
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Enumeration Date | 09/08/2021
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Last Update Date | 09/08/2021
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Provider Practice Location Address
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Address Line | 23955 FREEWAY PARK DR STE C
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City | FARMINGTON HILLS
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State | MI
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Zip | 48335-2817
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Country | US
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Telephone | 248-534-4400
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Fax | 248-479-9861
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Provider Business Mailing Address
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Address Line | 603 W GRAND RIVER AVE STE C
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City | BRIGHTON
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State | MI
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Zip | 48116-2390
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Country | US
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Telephone | 810-534-7004
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Fax | 810-775-1046
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Authorized Official
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Title or Position | OWNER
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Name | LAUREN HANSCHE LOBERT FRISON
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Credential | DPT
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Telephone | 810-534-7004
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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