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NPI Code Detail

MEDICARE: LAUREN CLAGG

MEDICARE:   LAUREN  CLAGG
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
1225200000XPhysical Therapy Assistant003007WV

General Provider Information

NPI Number : 1457203036
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAUREN CLAGG
Provider Business Mailing Address
First Line : 1 STONEGATE CIR
Second Line :
City : SUMMERSVILLE
State : WV
Zip : 26651-4499
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1 STONEGATE CIR
Second Line :
City : SUMMERSVILLE
State : WV
Zip : 26651-4499
Country : US
Telephone Number : 304-644-6602
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/13/2026
Last Update Date : 02/13/2026

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Directions to “ LAUREN CLAGG ” Practice Location

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