Individual
LAUREN RENEE LEGRAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
300 FLOYD DR, SIKESTON, MO 63801-3960
(573) 472-0397
(573) 472-0409
Mailing address
1501 LYNDEL CT APT B, DEXTER, MO 63841-8297
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2013001396
MO
Other
Enumeration date
08/29/2013
Last updated
08/29/2013
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