Provider Demographics
NPI:1912522988
Name:GEIGER, LAUREN (ITDS)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:
Last Name:GEIGER
Suffix:
Gender:F
Credentials:ITDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1158 SAMAR RD
Mailing Address - Street 2:
Mailing Address - City:COCOA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32931-3067
Mailing Address - Country:US
Mailing Address - Phone:321-536-3962
Mailing Address - Fax:
Practice Address - Street 1:1158 SAMAR RD
Practice Address - Street 2:
Practice Address - City:COCOA BEACH
Practice Address - State:FL
Practice Address - Zip Code:32931-3067
Practice Address - Country:US
Practice Address - Phone:321-536-3962
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-15
Last Update Date:2023-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist