Individual
LAUREN MOOSE DRUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
515 S GENERALS BLVD, LINCOLNTON, NC 28092-3656
(704) 735-8065
Mailing address
1660 MCKAY RD, NEWTON, NC 28658-9420
(828) 612-9599
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
7665
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1740301050
—
NC
Enumeration date
04/30/2019
Last updated
04/30/2019
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