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Individual

MRS. LAUREN I. MIMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.T.

Contact information

Practice address
690 S COOPER RD STE 101, GILBERT, AZ 85233-5900
(480) 503-2100
(480) 503-2131
Mailing address
2122 YORK RD STE 300, OAK BROOK, IL 60523-1925
(630) 575-1980
(630) 928-5080

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
LPT-013368
AZ
225100000X
Physical Therapist
22238
FL
225100000X
Physical Therapist
Primary
LPT-013368
AZ

Other

Enumeration date
06/01/2007
Last updated
02/07/2024
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