Lauren Stavenger

NPI #1003249616 in Robbinsdale, Minnesota

Provider Information

NPI Number: 1003249616
Entity Type: Individual
Name: Lauren Stavenger
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Aug 19, 2013
Last Updated: Aug 19, 2013

Practice Location

Address: 3815 W BROADWAY AVE
City: Robbinsdale
State: Minnesota
ZIP Code: 55422-2207
Phone: (612) 332-4262

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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