Provider Demographics
NPI:1275137754
Name:MORELL, LAURYN
Entity Type:Individual
Prefix:
First Name:LAURYN
Middle Name:
Last Name:MORELL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33 OAKDALE RD
Mailing Address - Street 2:
Mailing Address - City:BRADFORD
Mailing Address - State:NH
Mailing Address - Zip Code:03221-3718
Mailing Address - Country:US
Mailing Address - Phone:603-748-4703
Mailing Address - Fax:
Practice Address - Street 1:29 SCHOOL RD
Practice Address - Street 2:
Practice Address - City:LEMPSTER
Practice Address - State:NH
Practice Address - Zip Code:03605-3500
Practice Address - Country:US
Practice Address - Phone:603-863-1080
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-25
Last Update Date:2020-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist