Provider Demographics
NPI:1184070005
Name:ASHURST, LAUREN (MS, LOTR)
Entity type:Individual
Prefix:MRS
First Name:LAUREN
Middle Name:
Last Name:ASHURST
Suffix:
Gender:F
Credentials:MS, LOTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 POLLY LN STE 160
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70508-4965
Mailing Address - Country:US
Mailing Address - Phone:337-500-1300
Mailing Address - Fax:337-406-8042
Practice Address - Street 1:400 POLLY LN STE 160
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70508-4965
Practice Address - Country:US
Practice Address - Phone:337-500-1300
Practice Address - Fax:337-406-8042
Is Sole Proprietor?:No
Enumeration Date:2016-05-10
Last Update Date:2016-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA200073225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist