Provider Demographics
NPI:1285295683
Name:LEWIS, LAUREN (FNP-C)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:
Last Name:LEWIS
Suffix:
Gender:
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:102 W 8TH NORTH ST STE B
Mailing Address - Street 2:
Mailing Address - City:SUMMERVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29483-6656
Mailing Address - Country:US
Mailing Address - Phone:843-471-1135
Mailing Address - Fax:
Practice Address - Street 1:102 W 8TH NORTH ST STE B
Practice Address - Street 2:
Practice Address - City:SUMMERVILLE
Practice Address - State:SC
Practice Address - Zip Code:29483-6656
Practice Address - Country:US
Practice Address - Phone:843-773-8239
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-26
Last Update Date:2025-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC22743363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily