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NPI Code Detail

MEDICARE: MS. LAUREN ELIZABETH SCHAEFER OTR/L

MEDICARE: MS. LAUREN ELIZABETH SCHAEFER OTR/L
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
1225XP0200XPediatric Occupational TherapistOT21084CA

General Provider Information

NPI Number : 1871116863
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LAUREN ELIZABETH SCHAEFER OTR/L
Provider Business Mailing Address
First Line : 5945 PACIFIC CENTER BLVD STE 510
Second Line :
City : SAN DIEGO
State : CA
Zip : 92121-6305
Country : US
Telephone Number : 858-695-9444
Fax Number :
Provider Business Practice Location Address
First Line : 5945 PACIFIC CENTER BLVD STE 510
Second Line :
City : SAN DIEGO
State : CA
Zip : 92121-6305
Country : US
Telephone Number : 858-695-9444
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/25/2020
Last Update Date : 05/29/2020

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