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Individual

LAUREN DEVEREAUX

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
630 6TH ST, NEVADA, IA 50201-2266
(515) 382-2543
(515) 382-7113
Mailing address
PO BOX 241, FONDA, IA 50540-0241
(712) 730-1107
(515) 382-1576

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
079418
IA

Other

Enumeration date
10/09/2015
Last updated
10/09/2015
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