Provider Demographics
NPI:1790923332
Name:LEIPPER, LAUREN FERREIRA (MA OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:LAUREN
Middle Name:FERREIRA
Last Name:LEIPPER
Suffix:
Gender:F
Credentials:MA OTR/L
Other - Prefix:MS
Other - First Name:LAUREN
Other - Middle Name:ELIZABETH
Other - Last Name:FERREIRA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA OTR/L
Mailing Address - Street 1:1543 RED OAK CT
Mailing Address - Street 2:
Mailing Address - City:SAN MARCOS
Mailing Address - State:CA
Mailing Address - Zip Code:92078-7996
Mailing Address - Country:US
Mailing Address - Phone:858-336-8068
Mailing Address - Fax:
Practice Address - Street 1:1543 RED OAK CT
Practice Address - Street 2:
Practice Address - City:SAN MARCOS
Practice Address - State:CA
Practice Address - Zip Code:92078-7996
Practice Address - Country:US
Practice Address - Phone:858-336-8068
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-03
Last Update Date:2022-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA10391225XF0002X, 225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No225XF0002XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistFeeding, Eating & Swallowing