Provider Demographics
NPI:1215382924
Name:PAXTON, LAUREN DAVIS (MA, CCC-L/SLP)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:DAVIS
Last Name:PAXTON
Suffix:
Gender:F
Credentials:MA, CCC-L/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 743
Mailing Address - Street 2:
Mailing Address - City:SAINT FRANCISVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70775-0743
Mailing Address - Country:US
Mailing Address - Phone:225-245-5170
Mailing Address - Fax:
Practice Address - Street 1:5637 COMMERCE STREET
Practice Address - Street 2:
Practice Address - City:ST. FRANCISVILLE
Practice Address - State:LA
Practice Address - Zip Code:70775-4413
Practice Address - Country:US
Practice Address - Phone:225-245-5170
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-05-01
Last Update Date:2019-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA7603235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist