Provider Demographics
NPI:1295584878
Name:DOXSEE, LAUREN ELISE (MT-BC)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:ELISE
Last Name:DOXSEE
Suffix:
Gender:F
Credentials:MT-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:502 SW WESTLAWN DR
Mailing Address - Street 2:
Mailing Address - City:ANKENY
Mailing Address - State:IA
Mailing Address - Zip Code:50023-2522
Mailing Address - Country:US
Mailing Address - Phone:541-729-0871
Mailing Address - Fax:
Practice Address - Street 1:706 CEDAR AVE
Practice Address - Street 2:
Practice Address - City:WOODWARD
Practice Address - State:IA
Practice Address - Zip Code:50276-1010
Practice Address - Country:US
Practice Address - Phone:515-642-4125
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-15
Last Update Date:2024-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY16538225A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist