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NPI Code Detail

MEDICARE: LAUREN ELIZABETH PFIFFNER PTA

MEDICARE: LAUREN ELIZABETH PFIFFNER PTA
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 Assistant005020IA

General Provider Information

NPI Number : 1760964480
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAUREN ELIZABETH PFIFFNER PTA
Provider Business Mailing Address
First Line : 680 S 4TH ST
Second Line :
City : LOUISVILLE
State : KY
Zip : 40202-2412
Country : US
Telephone Number : 502-596-7300
Fax Number :
Provider Business Practice Location Address
First Line : 1700 3RD ST NE
Second Line :
City : INDEPENDENCE
State : IA
Zip : 50644-2264
Country : US
Telephone Number : 319-334-7015
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/29/2018
Last Update Date : 08/29/2018

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