Individual
LAUREN IRENE COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLPA
Contact information
Practice address
1515 LAKE HAVASU AVE N STE 100, LAKE HAVASU CITY, AZ 86404-1177
(928) 854-5439
(928) 854-5440
Mailing address
1515 LAKE HAVASU AVE N STE 100, LAKE HAVASU CITY, AZ 86404-1177
(928) 854-5439
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA12064
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SLPA12064
ARIZONA DEPARTMENT OF HEALTH SERVICES
AZ
Enumeration date
10/30/2019
Last updated
11/27/2023
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