MEDICARE: LAUREN ELIZABETH DAUER M.A., 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
1	225X00000X	Occupational Therapist	13051	CA

General Provider Information

NPI Number	:	1942546320
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAUREN ELIZABETH DAUER M.A., OTR/L

Provider Business Mailing Address
First Line	:	1800 EAGLE TRACE BLVD
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33071-7819
Country	:	US
Telephone Number	:	954-478-5657
Fax Number	:

Provider Business Practice Location Address
First Line	:	1800 EAGLE TRACE BLVD
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33071-7819
Country	:	US
Telephone Number	:	954-478-5657
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/12/2012
Last Update Date	:	12/12/2012

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