Provider Demographics
NPI:1588120083
Name:MCCULLION-ZERN, LAUREN ASHLEY (DPT)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:ASHLEY
Last Name:MCCULLION-ZERN
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 1:218 HELD ST
Mailing Address - Street 2:
Mailing Address - City:LEHIGHTON BOROUGH
Mailing Address - State:PA
Mailing Address - Zip Code:18235-2821
Mailing Address - Country:US
Mailing Address - Phone:570-657-0937
Mailing Address - Fax:
Practice Address - Street 1:218 HELD ST
Practice Address - Street 2:
Practice Address - City:LEHIGHTON BOROUGH
Practice Address - State:PA
Practice Address - Zip Code:18235-2821
Practice Address - Country:US
Practice Address - Phone:570-657-0937
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-02-20
Last Update Date:2023-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics