Individual
MRS. LAUREN ELIZABETH-GRAY COUGHRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
849 COAST BLVD, LA JOLLA, CA 92037
(800) 959-7010
Mailing address
3760 CONVOY ST., SUITE 204, SAN DIEGO, CA 92111-3742
(858) 514-0375
(858) 514-0383
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
12549
CA
Other
Enumeration date
04/17/2012
Last updated
04/05/2021
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