Individual
LAUREEN MCLAREN COFFELT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
6286 BRIARCREST AVE STE 200, MEMPHIS, TN 38120-4023
(901) 641-3000
(901) 259-1698
Mailing address
6077 PRIMACY PKWY STE 140, MEMPHIS, TN 38119-5742
(901) 725-8347
(901) 259-7637
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
1178
TN
225XH1200X
Hand Occupational Therapist
OT-3879
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08031211
—
MS
05
—
110318002
—
AR
05
—
158928721
—
AR
05
—
3371161
—
TN
05
—
3645198
—
TN
01
—
4088730
BLUE CROSS
TN
01
—
620819926
BCBS
MS
01
—
620819926
CIGNA
TN
05
—
7187860
—
MS
01
—
7729581
AETNA
TN
01
—
P00281381
RAILROAD MEDICARE
TN
Enumeration date
05/24/2005
Last updated
07/21/2021
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