Provider Demographics
NPI:1124250667
Name:ALLAIN, LAUREN CAROL (FNP-BC)
Entity type:Individual
Prefix:MS
First Name:LAUREN
Middle Name:CAROL
Last Name:ALLAIN
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:431 MEADOWLARK ST.
Mailing Address - Street 2:20TH MDG/SGHC
Mailing Address - City:SHAW AFB
Mailing Address - State:SC
Mailing Address - Zip Code:29152-5019
Mailing Address - Country:US
Mailing Address - Phone:803-895-6356
Mailing Address - Fax:803-895-6456
Practice Address - Street 1:431 MEADOWLARK ST.
Practice Address - Street 2:20TH MDG/SGHC
Practice Address - City:SHAW AFB
Practice Address - State:SC
Practice Address - Zip Code:29152-5019
Practice Address - Country:US
Practice Address - Phone:803-895-6356
Practice Address - Fax:803-895-6456
Is Sole Proprietor?:No
Enumeration Date:2009-08-18
Last Update Date:2009-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA284232363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily