Individual
LAUREN MICHELLE PLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
3200 GRAND AVE, DES MOINES, IA 50312-4104
(515) 271-1717
Mailing address
3200 GRAND AVE, DES MOINES, IA 50312-4104
(515) 271-1717
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
004870
IA
225100000X
Physical Therapist
Primary
415300056
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0665463
—
IA
Enumeration date
12/22/2011
Last updated
06/09/2022
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