Lauren Elaine Bishop
Individual provider Active NPI Physical Therapy Assistant · Lapeer, MI
NPI 1669720744 · NPPES record last updated Aug 21, 2012
Key facts
- NPI
- 1669720744
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 5502003529 (MI)
- Practice address
- 1169 Christine Dr
Lapeer, MI 48446-4203 - Phone
- (810) 728-2371
- NPI assigned
- Aug 21, 2012
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5502003529 | MI | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 5502003529 | MI | Yes |
Addresses
Primary practice location
1169 Christine Dr
Lapeer, MI 48446-4203
Mailing address
1169 Christine Dr
Lapeer, MI 48446-4203
Phone (810) 728-2371
Other providers in Lapeer, MI
- Ashley Beswetherick
- Cinnamon Bice
- Shallymar Bigtacion
- Kylie Bilkie
- Psalm Bingham
- Jennifer Blackford
- Amy Blackmer
- Toni Blackmer
- Kay Blair
- Heather Renay Blanchfield-Thompson
All providers in Lapeer, MI · Physical Therapy Assistant in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 21, 2012. 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.