Individual
LAUREN CAMPBELL HARVEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12020 PACIFIC ST, OMAHA, NE 68154-3507
(800) 259-9897
Mailing address
4850 SQUAW CREEK RD, CASPER, WY 82604-4257
(406) 581-6677
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
19445
CA
225X00000X
Occupational Therapist
Primary
OT-2017
ID
225X00000X
Occupational Therapist
OTP-OT-LIC-3921
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0105919854111
DRIVERS LICENSE
MT
Enumeration date
01/08/2019
Last updated
01/09/2019
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