Provider Demographics
NPI:1558778308
Name:STONE, LAUREN
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:
Last Name:STONE
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 1:1724 HAMILL RD
Mailing Address - Street 2:OASIS PARK BUILDING SUITE 102
Mailing Address - City:HIXSON
Mailing Address - State:TN
Mailing Address - Zip Code:37343-5152
Mailing Address - Country:US
Mailing Address - Phone:423-267-6738
Mailing Address - Fax:
Practice Address - Street 1:1724 HAMILL RD
Practice Address - Street 2:OASIS PARK BUILDING SUITE 102
Practice Address - City:HIXSON
Practice Address - State:TN
Practice Address - Zip Code:37343-5152
Practice Address - Country:US
Practice Address - Phone:423-267-6738
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-07-14
Last Update Date:2017-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist