Provider Demographics
NPI:1871208215
Name:SCHNEIDER, LAUREN FARRIER (LMT)
Entity type:Individual
Prefix:MRS
First Name:LAUREN
Middle Name:FARRIER
Last Name:SCHNEIDER
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 W COLUMBIA WAY
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98660-3611
Mailing Address - Country:US
Mailing Address - Phone:360-574-3366
Mailing Address - Fax:
Practice Address - Street 1:301 W COLUMBIA WAY
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98660-3611
Practice Address - Country:US
Practice Address - Phone:360-574-3366
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-19
Last Update Date:2023-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA61228308225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist