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Individual

LAUREN B LANCASTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OT, CHT

Contact information

Practice address
990 E MAIN ST, STE 7, BLUE RIDGE, GA 30513-4565
(706) 946-2035
(706) 946-2036
Mailing address
8823 PRODUCTION LN, OOLTEWAH, TN 37363-6511
(423) 238-7217
(423) 362-8684

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT006536
GA
225X00000X
Occupational Therapist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
OT1083
LICENSE
FL
Enumeration date
08/30/2006
Last updated
03/09/2017
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