Provider Demographics
NPI:1902602105
Name:COLLIER, LAUREN ELISABETH
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:ELISABETH
Last Name:COLLIER
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:337 SAINT LUKES DR
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36117-7103
Mailing Address - Country:US
Mailing Address - Phone:334-356-1411
Mailing Address - Fax:334-356-1578
Practice Address - Street 1:337 SAINT LUKES DR
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36117-7103
Practice Address - Country:US
Practice Address - Phone:334-356-1411
Practice Address - Fax:334-356-1578
Is Sole Proprietor?:No
Enumeration Date:2025-02-20
Last Update Date:2025-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1215680363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical