Provider Demographics
NPI:1427283654
Name:MCBETH, LAUREN (LMBT, MMP)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:
Last Name:MCBETH
Suffix:
Gender:F
Credentials:LMBT, MMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41 PINEHURST ROAD
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28805-2308
Mailing Address - Country:US
Mailing Address - Phone:828-712-8631
Mailing Address - Fax:
Practice Address - Street 1:70 WOODFIN PLACE
Practice Address - Street 2:WW4D
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801
Practice Address - Country:US
Practice Address - Phone:828-712-8631
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-05-18
Last Update Date:2009-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1586225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist