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NPI Code Detail

MEDICARE: LAUREN ASHLEY ISAACSON LMHC

MEDICARE: LAUREN ASHLEY ISAACSON LMHC
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
1101YM0800XMental Health Counselor108600IA

General Provider Information

NPI Number : 1801463146
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAUREN ASHLEY ISAACSON LMHC
Provider Business Mailing Address
First Line : 1737 N 900TH AVE
Second Line :
City : LYNN CENTER
State : IL
Zip : 61262-9571
Country : US
Telephone Number : 309-236-1336
Fax Number :
Provider Business Practice Location Address
First Line : 2550 MIDDLE RD STE 300
Second Line :
City : BETTENDORF
State : IA
Zip : 52722-3287
Country : US
Telephone Number : 309-236-1336
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/07/2021
Last Update Date : 06/07/2021

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