Individual
MS. LAUREN MEREDEE REDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
22 STATION AVE STE 201, BRUNSWICK, ME 04011-2092
(077) 212-8411
Mailing address
324 GANNETT DR, SUITE 200, SOUTH PORTLAND, ME 04106-3270
(207) 482-7800
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT4787
ME
2251X0800X
Orthopedic Physical Therapist
PT4787
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1124240122
—
ME
Enumeration date
05/02/2007
Last updated
09/08/2021
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