Provider Demographics
NPI:1376155036
Name:FISCHER, LAUREN ELENA
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:ELENA
Last Name:FISCHER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 ACADEMY PL APT 242
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37210-2286
Mailing Address - Country:US
Mailing Address - Phone:707-321-4847
Mailing Address - Fax:
Practice Address - Street 1:4 ACADEMY PL APT 242
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37210-2286
Practice Address - Country:US
Practice Address - Phone:707-321-4847
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-23
Last Update Date:2020-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1107235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist