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Individual

LAUREN ELIZABETH LAENEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MOT,OTR/L

Contact information

Practice address
147 S BROOKS ST, PONTOTOC, MS 38863-2950
(662) 489-4050
Mailing address
981 BOLAND LOOP, PONTOTOC, MS 38863-6355
(166) 226-6288

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2877
MS

Other

Enumeration date
08/28/2020
Last updated
08/28/2020
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