Provider Demographics
NPI:1477938264
Name:BUCHANAN, LAUREN REBEKAH (ATC)
Entity Type:Individual
Prefix:MS
First Name:LAUREN
Middle Name:REBEKAH
Last Name:BUCHANAN
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23319 97TH AVE W
Mailing Address - Street 2:
Mailing Address - City:EDMONDS
Mailing Address - State:WA
Mailing Address - Zip Code:98020-5012
Mailing Address - Country:US
Mailing Address - Phone:206-713-2751
Mailing Address - Fax:
Practice Address - Street 1:23319 97TH AVE W
Practice Address - Street 2:
Practice Address - City:EDMONDS
Practice Address - State:WA
Practice Address - Zip Code:98020-5012
Practice Address - Country:US
Practice Address - Phone:206-713-2751
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-22
Last Update Date:2015-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172M00000XOther Service ProvidersMechanotherapist
No172V00000XOther Service ProvidersCommunity Health Worker