Provider Demographics
NPI:1801642954
Name:HOULE, LAUREN (PT, DPT, CPO)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:
Last Name:HOULE
Suffix:
Gender:F
Credentials:PT, DPT, CPO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:209 BURLINGTON RD STE 217
Mailing Address - Street 2:
Mailing Address - City:BEDFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01730-1415
Mailing Address - Country:US
Mailing Address - Phone:617-209-3991
Mailing Address - Fax:
Practice Address - Street 1:209 BURLINGTON RD STE 217
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:MA
Practice Address - Zip Code:01730-1415
Practice Address - Country:US
Practice Address - Phone:617-209-3991
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-29
Last Update Date:2024-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224P00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersProsthetist
No222Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotist