Provider Demographics
NPI:1639418007
Name:COBB, LAUREN PAYNE (DC)
Entity Type:Individual
Prefix:DR
First Name:LAUREN
Middle Name:PAYNE
Last Name:COBB
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2811 LURLEEN B WALLACE BLVD
Mailing Address - Street 2:STE 12
Mailing Address - City:NORTHPORT
Mailing Address - State:AL
Mailing Address - Zip Code:35476-3257
Mailing Address - Country:US
Mailing Address - Phone:205-292-0734
Mailing Address - Fax:
Practice Address - Street 1:2811 LURLEEN B WALLACE BLVD
Practice Address - Street 2:SUITE 12
Practice Address - City:NORTHPORT
Practice Address - State:AL
Practice Address - Zip Code:35476-3281
Practice Address - Country:US
Practice Address - Phone:205-339-3333
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-02-05
Last Update Date:2019-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2390111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor