MEDICARE: LAUREN M WRIGHT P.T.

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	1960	NE
2	225100000X	Physical Therapist	2831	IA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	F247453	OTHER		MIDLANDS CHOICE
2	6400524	OTHER		UNITED HEALTHCARE
3	02042	OTHER	NE	BLUE CROSS BLUE SHIELD
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1306988464
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAUREN M WRIGHT P.T.

Provider Business Mailing Address
First Line	:	1420 S 175TH AVE
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68130-2652
Country	:	US
Telephone Number	:	402-556-9094
Fax Number	:

Provider Business Practice Location Address
First Line	:	1420 S 175TH AVE
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68130-2652
Country	:	US
Telephone Number	:	402-556-9094
Fax Number	:

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

Provider Enumeration Date	:	02/13/2007
Last Update Date	:	12/01/2017

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Directions to “ LAUREN M WRIGHT P.T.” Practice Location

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