Provider Demographics
NPI:1588078042
Name:POWELL, LAUREN M (NP-C)
Entity type:Individual
Prefix:DR
First Name:LAUREN
Middle Name:M
Last Name:POWELL
Suffix:
Gender:
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1612 CHAPIN RD
Mailing Address - Street 2:
Mailing Address - City:CHAPIN
Mailing Address - State:SC
Mailing Address - Zip Code:29036-9304
Mailing Address - Country:US
Mailing Address - Phone:803-345-3414
Mailing Address - Fax:
Practice Address - Street 1:557 COLUMBIA AVE STE B
Practice Address - Street 2:
Practice Address - City:CHAPIN
Practice Address - State:SC
Practice Address - Zip Code:29036-8324
Practice Address - Country:US
Practice Address - Phone:803-345-3414
Practice Address - Fax:803-345-1672
Is Sole Proprietor?:No
Enumeration Date:2014-06-12
Last Update Date:2025-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC18848363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily