Individual
LAUREN NOEL LICATINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3708 BROADWAY AVE N STE 110, ROCHESTER, MN 55906-4159
(507) 322-3460
Mailing address
3708 BROADWAY AVE N STE 110, ROCHESTER, MN 55906-4159
(507) 322-3460
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12994
MN
225100000X
Physical Therapist
3111995
TX
Other
Enumeration date
06/12/2012
Last updated
10/03/2023
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