Provider Demographics
NPI:1811128689
Name:EPPLE, LAUREN F (AU,D)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:F
Last Name:EPPLE
Suffix:
Gender:F
Credentials:AU,D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 E 33RD ST
Mailing Address - Street 2:SUITE 631
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21218-3322
Mailing Address - Country:US
Mailing Address - Phone:410-554-2168
Mailing Address - Fax:410-554-2839
Practice Address - Street 1:200 E 33RD ST
Practice Address - Street 2:SUITE 631
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21218-3322
Practice Address - Country:US
Practice Address - Phone:410-554-2168
Practice Address - Fax:410-554-2839
Is Sole Proprietor?:No
Enumeration Date:2009-07-28
Last Update Date:2009-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD01183231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist