Lauren Marie Clutter
Individual provider Active NPI Day Training/Habilitation Specialist · Lodi, OH
NPI 1306433859 · NPPES record last updated Dec 30, 2020
Key facts
- NPI
- 1306433859
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Day Training/Habilitation Specialist 373H00000X
- Practice address
- 210 S Broadway St
Lodi, OH 44254-1328 - Phone
- (330) 461-2887
- NPI assigned
- Dec 30, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Day Training/Habilitation Specialist | 373H00000X | Yes |
Addresses
Primary practice location
210 S Broadway St
Lodi, OH 44254-1328
Mailing address
210 S Broadway St
Lodi, OH 44254-1328
Phone (330) 461-2887
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5213850 | Medicaid | OH |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lauren@littlebearphotographybyalauren.com | Direct |
Other providers in Lodi, OH
- Kim A Carter
- Andrea Cavendish
- Josh Chlam
- Amelia Cianciola
- Cloverleaf Local Schools
- Tom Colic
- Rajean Cooke
- Elizabeth Ann Cooper
- Lori A Cox
- Samantha Cyphers
All providers in Lodi, OH · Day Training/Habilitation Specialist in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 30, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.