Provider Demographics
NPI:1366224560
Name:ANDERSON, LAUREN FINLEY (DPT)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:FINLEY
Last Name:ANDERSON
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3638 H ST APT 13
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95816-4644
Mailing Address - Country:US
Mailing Address - Phone:559-470-7951
Mailing Address - Fax:
Practice Address - Street 1:3638 H ST APT 13
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95816-4644
Practice Address - Country:US
Practice Address - Phone:559-470-7951
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-23
Last Update Date:2023-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA293346225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist