Provider Demographics
NPI:1164610234
Name:STEPHENSON, LAUREN JOAN (ATC)
Entity Type:Individual
Prefix:MISS
First Name:LAUREN
Middle Name:JOAN
Last Name:STEPHENSON
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:320 EMERGENCY ROOM DR
Mailing Address - Street 2:CB#7470
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27599-5035
Mailing Address - Country:US
Mailing Address - Phone:919-966-6548
Mailing Address - Fax:919-843-4771
Practice Address - Street 1:320 EMERGENCY ROOM DR
Practice Address - Street 2:CB#7470
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27599-5040
Practice Address - Country:US
Practice Address - Phone:919-966-6548
Practice Address - Fax:919-843-4771
Is Sole Proprietor?:No
Enumeration Date:2007-10-14
Last Update Date:2007-10-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC13942255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer