Provider Demographics
NPI:1780956318
Name:SMALLCOMB, LAUREN MARY (RN)
Entity type:Individual
Prefix:MRS
First Name:LAUREN
Middle Name:MARY
Last Name:SMALLCOMB
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7103 FROST AVE
Mailing Address - Street 2:#30
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29203-2078
Mailing Address - Country:US
Mailing Address - Phone:803-834-4119
Mailing Address - Fax:
Practice Address - Street 1:7103 FROST AVE
Practice Address - Street 2:#30
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29203-2078
Practice Address - Country:US
Practice Address - Phone:803-834-4119
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-27
Last Update Date:2012-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula