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NPI Code Detail

MEDICARE: LAUREN BLUME

MEDICARE: LAUREN BLUME
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 Therapist

General Provider Information

NPI Number : 1417812975
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAUREN BLUME
Provider Business Mailing Address
First Line : 1104 HAMPTON DR
Second Line :
City : SANDY SPRINGS
State : GA
Zip : 30350-3909
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 9880 HICKORY FLAT HWY
Second Line :
City : WOODSTOCK
State : GA
Zip : 30188-3081
Country : US
Telephone Number : 770-687-2542
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/17/2025
Last Update Date : 12/17/2025

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Directions to “ LAUREN BLUME ” Practice Location

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