Basic Information
Provider Information
NPI: 1871143131
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ASHER
FirstName: LAUREN
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: PT, DPT
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 6300 SILVERY STAR PATH
Address2:  
City: COLUMBIA
State: MD
PostalCode: 210446007
CountryCode: US
TelephoneNumber: 4437457413
FaxNumber:  
Practice Location
Address1: 1635 N GEORGE MASON DR STE 110
Address2:  
City: ARLINGTON
State: VA
PostalCode: 222053604
CountryCode: US
TelephoneNumber: 7038105216
FaxNumber:  
Other Information
ProviderEnumerationDate: 09/18/2019
LastUpdateDate: 10/21/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 10/21/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225100000X2305213150VAY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist 

No ID Information.


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