MEDICARE: MS. LAUREN ANDREWS PT

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
1	225100000X	Physical Therapist	6693	MA

General Provider Information

NPI Number	:	1194942599
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. LAUREN ANDREWS PT

Provider Business Mailing Address
First Line	:	20 COUNTRY LN
Second Line	:
City	:	SHARON
State	:	MA
Zip	:	02067-2340
Country	:	US
Telephone Number	:	781-784-4272
Fax Number	:

Provider Business Practice Location Address
First Line	:	400 W CUMMINGS PARK
Second Line	:	SUITE 3950
City	:	WOBURN
State	:	MA
Zip	:	01801-6519
Country	:	US
Telephone Number	:	781-933-8800
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/19/2007
Last Update Date	:	07/08/2007

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