Individual
LAUREN MICHELLE DOWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
250 N COLLEGE PARK DR APT D31, UPLAND, CA 91786-9458
(626) 216-5843
Mailing address
3306 MILLBURY AVE, BALDWIN PARK, CA 91706-5439
(626) 216-5843
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
18200
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
391925
NBCOT
CA
Enumeration date
06/12/2019
Last updated
06/12/2019
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