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NPI Code Detail

MEDICARE: LAUREN MCCOY

MEDICARE: LAUREN MCCOY
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 : 1811385164
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAUREN MCCOY
Provider Business Mailing Address
First Line : 17706 I 30 STE 3
Second Line :
City : BENTON
State : AR
Zip : 72019-2930
Country : US
Telephone Number : 501-315-4414
Fax Number :
Provider Business Practice Location Address
First Line : 214 HOPE LANDING RD
Second Line :
City : EL DORADO
State : AR
Zip : 71730-8725
Country : US
Telephone Number : 870-814-9229
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/08/2015
Last Update Date : 12/09/2025

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Directions to “ LAUREN MCCOY ” Practice Location

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