Lauren Fairbanks, L.O.T.R., C.H.T.

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

Z10470 Issued in LA

Practice address

17709 Old Jefferson Hwy Ste a
Prairieville, LA 70769-3977

Phone

(225) 677-8400

Fax

(225) 677-8484

NPI assigned

Nov 3, 2006

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1265511042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17709 OLD JEFFERSON HWY STE A",
            "city": "PRAIRIEVILLE",
            "state": "LA",
            "postal_code": "707693977",
            "telephone_number": "225-677-8400",
            "fax_number": "225-677-8484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17709 OLD JEFFERSON HWY STE A",
            "city": "PRAIRIEVILLE",
            "state": "LA",
            "postal_code": "707693977",
            "telephone_number": "225-677-8400",
            "fax_number": "225-677-8484"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17316 Airline Hwy",
            "address_2": "SUITE O",
            "address_purpose": "LOCATION",
            "city": "Prairieville",
            "state": "LA",
            "postal_code": "707693377",
            "country_code": "US",
            "telephone_number": "225-677-8400",
            "fax_number": "225-677-8484",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAIRBANKS",
        "first_name": "LAUREN",
        "name_prefix": "Mrs.",
        "credential": "L.O.T.R., C.H.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-03",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "LA",
            "license": "Z10470",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY",
            "identifier": "212607",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Occupational Therapist in Prairieville, LA
• Providers in Prairieville, LA by specialty
• Occupational Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.