Provider Demographics
NPI:1023822145
Name:HOLDER, LAUREN T (PA)
Entity type:Individual
Prefix:MISS
First Name:LAUREN
Middle Name:T
Last Name:HOLDER
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Gender:F
Credentials:PA
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Mailing Address - Street 1:2781 TRICOM ST
Mailing Address - Street 2:
Mailing Address - City:NORTH CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29406-9170
Mailing Address - Country:US
Mailing Address - Phone:843-797-5600
Mailing Address - Fax:843-572-4872
Practice Address - Street 1:2781 TRICOM ST
Practice Address - Street 2:
Practice Address - City:NORTH CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29406-9170
Practice Address - Country:US
Practice Address - Phone:843-797-5600
Practice Address - Fax:843-572-4872
Is Sole Proprietor?:No
Enumeration Date:2025-02-07
Last Update Date:2025-02-07
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical