Provider Demographics
NPI:1376739938
Name:ALBORN, LAUREN A (PT)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:A
Last Name:ALBORN
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1335 AUDUBON DR
Mailing Address - Street 2:
Mailing Address - City:BROWNSBURG
Mailing Address - State:IN
Mailing Address - Zip Code:46112-8318
Mailing Address - Country:US
Mailing Address - Phone:812-345-2130
Mailing Address - Fax:
Practice Address - Street 1:5005 E STOP 11 RD
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46237-9447
Practice Address - Country:US
Practice Address - Phone:317-865-1450
Practice Address - Fax:317-865-1455
Is Sole Proprietor?:No
Enumeration Date:2007-09-18
Last Update Date:2007-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN05009401A225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist