Individual
LAUREN HEBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT314
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010562
BC/BS INDIVIDUAL #
ME
01
—
2022587
AETNA PROV #
ME
01
—
779004
TUFTS
ME
01
—
HEALTHCARE
HEALTHSOURCE PROV #
ME
Enumeration date
09/01/2005
Last updated
07/13/2026
Update your record
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