Individual
LAUREN RENEE COOMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10456 US HIGHWAY 62, CALVERT CITY, KY 42029-9020
(270) 898-6240
Mailing address
10456 US HIGHWAY 62, CALVERT CITY, KY 42029-9020
(270) 898-6240
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
R3555
KY
Other
Enumeration date
08/21/2008
Last updated
08/21/2008
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