NPI 1003249616

Lauren Stavenger

Practitioner Physical Therapist Robbinsdale, MN

Practice location

Address: 3815 W Broadway Ave, Robbinsdale, MN 55422-2207
Phone: (612) 332-4262
Mailing address: 200 Nathan Ln N APT 231, Plymouth, MN 55441-6486

Registered specialties

Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence 9039 (MN)

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Registry record

NPI: 1003249616
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Aug 2013
Record last updated: 19 Aug 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.