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Individual

LAUREN EDWARDS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
314 HIGHLAND PARK DR, RICHMOND, KY 40475-3487
(859) 353-5022
(859) 353-5047
Mailing address
314 HIGHLAND PARK DR, RICHMOND, KY 40475-3487
(859) 353-5022
(859) 353-5047

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
006321
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100286020
KY
Enumeration date
01/03/2014
Last updated
12/22/2014
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