Individual
MRS. LAUREN IKERD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
506 DAMPIER DR, GREENVILLE, MS 38701-7430
(662) 522-0264
Mailing address
506 DAMPIER DR, GREENVILLE, MS 38701-7430
(662) 522-0264
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT2592
MS
Other
Enumeration date
05/07/2017
Last updated
04/03/2019
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