Provider Demographics
NPI:1467700351
Name:BEE, LAUREN ELIZABETH (DPT)
Entity Type:Individual
Prefix:MS
First Name:LAUREN
Middle Name:ELIZABETH
Last Name:BEE
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:MRS
Other - First Name:LAUREN
Other - Middle Name:BEE
Other - Last Name:LASH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DPT
Mailing Address - Street 1:3921 WHITE OAK DR
Mailing Address - Street 2:
Mailing Address - City:VESTAVIA
Mailing Address - State:AL
Mailing Address - Zip Code:35243-4916
Mailing Address - Country:US
Mailing Address - Phone:205-408-4007
Mailing Address - Fax:
Practice Address - Street 1:5021 HIGHWAY 280
Practice Address - Street 2:SUITE 102
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35242-5162
Practice Address - Country:US
Practice Address - Phone:205-408-4007
Practice Address - Fax:205-408-1051
Is Sole Proprietor?:No
Enumeration Date:2012-08-27
Last Update Date:2012-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALPTH6562225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PENDINGOtherBCBS
ALPENDINGMedicare UPIN