Individual
LAUREN M WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
555 E TERRA LN, O FALLON, MO 63366-2687
(636) 240-2072
Mailing address
518 DEEPWATER CT, SAINT CHARLES, MO 63303-6418
(609) 234-9566
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2024034298
MO
235Z00000X
Speech-Language Pathologist
O1-0001148
DE
Other
Enumeration date
10/19/2012
Last updated
10/01/2024
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