Provider Demographics
NPI:1720457617
Name:RICE, LAUREN (BSN, RN, CLC)
Entity type:Individual
Prefix:MRS
First Name:LAUREN
Middle Name:
Last Name:RICE
Suffix:
Gender:F
Credentials:BSN, RN, CLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2100 SOUTHBRIDGE PARKWAY
Mailing Address - Street 2:SUITE 650
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35223
Mailing Address - Country:US
Mailing Address - Phone:205-913-8189
Mailing Address - Fax:
Practice Address - Street 1:2100 SOUTHBRIDGE PARKWAY
Practice Address - Street 2:SUITE 650
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35223
Practice Address - Country:US
Practice Address - Phone:205-913-8189
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-21
Last Update Date:2015-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-137645163W00000X
ALALPP-228577163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant
No163W00000XNursing Service ProvidersRegistered Nurse