Provider Demographics
NPI:1841314770
Name:MCCABE, LAUREN E (DC)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:E
Last Name:MCCABE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2355 VANDERBILT BEACH RD STE 146
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34109-2768
Mailing Address - Country:US
Mailing Address - Phone:239-596-4800
Mailing Address - Fax:
Practice Address - Street 1:2355 VANDERBILT BEACH RD STE 146
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34109-2768
Practice Address - Country:US
Practice Address - Phone:239-596-4800
Practice Address - Fax:239-734-3935
Is Sole Proprietor?:No
Enumeration Date:2007-03-17
Last Update Date:2022-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR71 3710111N00000X
OR3710111NS0005X
FLCH13532111NS0005X, 111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No111NS0005XChiropractic ProvidersChiropractorSports Physician
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLCH13532OtherSTATE LICENSE