Provider Demographics
NPI:1659171049
Name:NAUM, LAUREN RACHEL (LMT)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:RACHEL
Last Name:NAUM
Suffix:
Gender:
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:607 E GATEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:WESTPORT
Mailing Address - State:IN
Mailing Address - Zip Code:47283-9605
Mailing Address - Country:US
Mailing Address - Phone:317-295-6550
Mailing Address - Fax:
Practice Address - Street 1:607 E GATEWOOD DR
Practice Address - Street 2:
Practice Address - City:WESTPORT
Practice Address - State:IN
Practice Address - Zip Code:47283-9605
Practice Address - Country:US
Practice Address - Phone:317-295-6550
Practice Address - Fax:317-295-6550
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-15
Last Update Date:2025-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
INMT22408499225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist