Provider Demographics
NPI:1598550410
Name:BEHLE, LAUREN (BSN)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:
Last Name:BEHLE
Suffix:
Gender:
Credentials:BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1105 WILMINGTON ISLAND RD
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31410-4508
Mailing Address - Country:US
Mailing Address - Phone:912-659-2314
Mailing Address - Fax:
Practice Address - Street 1:1105 WILMINGTON ISLAND RD
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31410-4508
Practice Address - Country:US
Practice Address - Phone:912-659-2314
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-11
Last Update Date:2025-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
133N00000X
GARN174132163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No133N00000XDietary & Nutritional Service ProvidersNutritionist