Most Relevant Information
Provider Data
| NPI Number: | 1003572439 |
| Provider Name: | LAUREN ELAINE LAVY OT |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: | 31007598A |
Most Important Dates
| Enumeration Date: | 11/10/2021 |
| Last Updated: | 03/28/2023 |
Provider Practice Location
2200 RANDALLIA DR
FORT WAYNE
IN
468054638
Practice Location Phone/Fax
| Phone: | 2603734300 |
| Fax: |
Provider Mailing Location
917 ARBORDALE PL
FORT WAYNE
IN
468254673
Provider Mailing Phone/Fax
| Phone: | 5027068552 |
| Fax: |