Provider Demographics
NPI:1174019665
Name:PAZMINO, LAUREN BETH (LMT)
Entity Type:Individual
Prefix:MS
First Name:LAUREN
Middle Name:BETH
Last Name:PAZMINO
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6803 CAITLYNN WAY
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40229-3900
Mailing Address - Country:US
Mailing Address - Phone:502-709-2735
Mailing Address - Fax:
Practice Address - Street 1:4000 DUPONT CIR
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40207-4802
Practice Address - Country:US
Practice Address - Phone:502-447-1000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-08
Last Update Date:2018-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist