Individual
DR. LAUREN ISABELLA VANDERREYDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1747 STAFFORD CT, GOSHEN, IN 46526-6542
(574) 533-0100
(574) 534-8088
Mailing address
814 WILLIAM DR, GOSHEN, IN 46526-1278
(574) 312-0418
(574) 534-8088
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18004579A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300115631
—
IN
Enumeration date
06/10/2025
Last updated
08/05/2025
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