| NPI | 1457842155 |
|---|---|
| Former Name | LAUREN MICHELLE LAGRO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL.0015896) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO PTLP.0000122) |
| Enumeration Date | 2018-05-29 |
| Last Update Date | 2018-11-02 |