Provider Demographics
NPI:1407827363
Name:JAMES, LAUREN H (PT)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:H
Last Name:JAMES
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:LAUREN
Other - Middle Name:
Other - Last Name:HOLCOMB
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:6077 PRIMACY PKWY STE 140
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38119-5742
Mailing Address - Country:US
Mailing Address - Phone:901-725-8347
Mailing Address - Fax:901-259-7637
Practice Address - Street 1:6286 BRIARCREST AVE STE 110
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38120-4023
Practice Address - Country:US
Practice Address - Phone:901-641-3000
Practice Address - Fax:901-259-1698
Is Sole Proprietor?:No
Enumeration Date:2006-01-30
Last Update Date:2020-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSCP003489T225100000X
TN7365225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN620819926OtherCIGNA
TN3371161Medicaid
TN3645859Medicaid
TN4114956OtherBCBS
TN620819926OtherTRICARE
MS009023209Medicaid
TN7058847OtherAETHA
AR110318002Medicaid
MS620819926OtherBCBS
AR159166721Medicaid
TN620819926OtherAETNA
TNP00316838OtherRAILROAD MEDICARE
TNP00316838OtherRAILROAD MEDICARE
TN620819926OtherTRICARE
TN620819926OtherAETNA