Provider Demographics
NPI:1316190853
Name:SCHROEDER, LAUREN KAY (DC)
Entity Type:Individual
Prefix:DR
First Name:LAUREN
Middle Name:KAY
Last Name:SCHROEDER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:536 NE WINCHESTER ST STE D
Mailing Address - Street 2:
Mailing Address - City:ROSEBURG
Mailing Address - State:OR
Mailing Address - Zip Code:97470-3265
Mailing Address - Country:US
Mailing Address - Phone:541-673-3276
Mailing Address - Fax:541-673-3276
Practice Address - Street 1:536 NE WINCHESTER ST STE D
Practice Address - Street 2:
Practice Address - City:ROSEBURG
Practice Address - State:OR
Practice Address - Zip Code:97470-3265
Practice Address - Country:US
Practice Address - Phone:541-673-3276
Practice Address - Fax:541-673-3276
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-28
Last Update Date:2008-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR28-2306111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor