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MISS LAUREN ELIZABETH ALTENBAUMER MHPP

>> Case Manager/Care Coordinator >> Other Service Providers

Registrant NPI Number: 1417373275

Individual Registrant:
MISS LAUREN ELIZABETH ALTENBAUMER MHPP
Gender: F
Not Sole Proprietor

Location and contact information for practice:
701 ARKANSAS BLVD  TEXARKANA, AR 71854-2105 US
Tel: 870-772-5028  Fax: --

Contact information for business:
4171 N CROSSOVER RD  FAYETTEVILLE, AR 72703-4591 US
Tel: 479-521-1427  Fax: 479-521-6520

Registration Information:
NPI: 1417373275
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y171M00000XOther Service Providers
Case Manager/Care Coordinator

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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