Provider Demographics
NPI:1598155681
Name:LOVE, LAUREN Y (DC)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:Y
Last Name:LOVE
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 1:5900 HIATUS RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:COOPER CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33330-4532
Mailing Address - Country:US
Mailing Address - Phone:954-252-7744
Mailing Address - Fax:954-769-1970
Practice Address - Street 1:5900 HIATUS RD
Practice Address - Street 2:SUITE 100
Practice Address - City:COOPER CITY
Practice Address - State:FL
Practice Address - Zip Code:33330-4532
Practice Address - Country:US
Practice Address - Phone:954-252-7744
Practice Address - Fax:954-769-1970
Is Sole Proprietor?:No
Enumeration Date:2015-01-28
Last Update Date:2015-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH11413111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor