Lauren De Leos

Individual provider Active NPI Pediatric Occupational Therapist · Emporia, VA

NPI 1861973471 · NPPES record last updated Feb 20, 2024

Key facts

NPI
1861973471
Entity type
Individual (NPI type 1)
Primary specialty
Pediatric Occupational Therapist 225XP0200X
Practice address
1101 Sussex Dr
Emporia, VA 23847-6441
Phone
(434) 336-0907
NPI assigned
Aug 22, 2018
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Greensville County Public Schools Past
since Feb 25, 2024
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X VA Yes

Addresses

Primary practice location

1101 Sussex Dr
Emporia, VA 23847-6441

Mailing address

700 Stockton St Apt 113
Richmond, VA 23224-4181
Phone (571) 665-8005

Other providers in Emporia, VA

All providers in Emporia, VA · Pediatric Occupational Therapist in Virginia

Sources for this page

Verify at the official NPI Registry.