Provider Demographics
NPI:1245608967
Name:COOPER, LAUREN A (RN, BSN)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:A
Last Name:COOPER
Suffix:
Gender:F
Credentials:RN, BSN
Other - Prefix:
Other - First Name:LAUREN
Other - Middle Name:B
Other - Last Name:ADAMS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN, BSN
Mailing Address - Street 1:2973 ROBERT H KIRK RD
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:SC
Mailing Address - Zip Code:29720-8090
Mailing Address - Country:US
Mailing Address - Phone:803-287-6580
Mailing Address - Fax:
Practice Address - Street 1:1228 COLONIAL COMMONS CT STE 100
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:SC
Practice Address - Zip Code:29720-2217
Practice Address - Country:US
Practice Address - Phone:803-745-5043
Practice Address - Fax:803-745-5080
Is Sole Proprietor?:No
Enumeration Date:2015-09-11
Last Update Date:2020-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC217357163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse