Provider Demographics
NPI:1588816748
Name:SWARTWOOD, LAUREN BAUGHMAN (PA-C)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:BAUGHMAN
Last Name:SWARTWOOD
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:CONSTANCE
Other - Middle Name:BAUGHMAN
Other - Last Name:SWARTWOOD
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PA-C
Mailing Address - Street 1:253 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:GALLATIN
Mailing Address - State:TN
Mailing Address - Zip Code:37066-3290
Mailing Address - Country:US
Mailing Address - Phone:615-461-8784
Mailing Address - Fax:615-461-7428
Practice Address - Street 1:253 W MAIN ST STE 731
Practice Address - Street 2:
Practice Address - City:GALLATIN
Practice Address - State:TN
Practice Address - Zip Code:37066-3290
Practice Address - Country:US
Practice Address - Phone:615-461-8784
Practice Address - Fax:615-461-7428
Is Sole Proprietor?:No
Enumeration Date:2008-10-21
Last Update Date:2019-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC1506363AM0700X
TN2131363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN103I976333Medicare PIN