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NPI Code Detail

MEDICARE: LAUREN E POWELL OTR/L

MEDICARE: LAUREN E POWELL OTR/L
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
1225X00000XOccupational Therapist5484SC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
112313OTHERNCNORTH CAROLINA BOARD OF OCCUPATIONAL THERAPY

General Provider Information

NPI Number : 1194288209
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAUREN E POWELL OTR/L
Provider Business Mailing Address
First Line : 2106 CROSSWAY LN
Second Line :
City : HOLLY SPRINGS
State : NC
Zip : 27540-6501
Country : US
Telephone Number : 919-762-7175
Fax Number :
Provider Business Practice Location Address
First Line : 2106 CROSSWAY LN
Second Line :
City : HOLLY SPRINGS
State : NC
Zip : 27540-6501
Country : US
Telephone Number : 919-762-7175
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/08/2019
Last Update Date : 07/16/2025

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Directions to “ LAUREN E POWELL OTR/L” Practice Location

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