Provider Demographics
NPI:1710541461
Name:TAYLOR, LAUREN BROOKE (MS, OTR)
Entity Type:Individual
Prefix:MS
First Name:LAUREN
Middle Name:BROOKE
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:MS, OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1508 HARTFORD RUN
Mailing Address - Street 2:
Mailing Address - City:BUFORD
Mailing Address - State:GA
Mailing Address - Zip Code:30518-4979
Mailing Address - Country:US
Mailing Address - Phone:662-643-3927
Mailing Address - Fax:
Practice Address - Street 1:2900 MCEVER ROAD
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:GA
Practice Address - Zip Code:30504
Practice Address - Country:US
Practice Address - Phone:678-940-1101
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-29
Last Update Date:2019-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist