Individual
LAUREN JEAN TANNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
2701 CHESTNUT STATION CT, LOUISVILLE, KY 40299-6395
(180) 033-5106
Mailing address
11 ORCHARD LN, PLAINVILLE, CT 06062-2640
(860) 620-7314
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6290
CT
Other
Enumeration date
11/06/2023
Last updated
11/06/2023
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