Provider Demographics
NPI:1801455506
Name:CROWSON-HINDMAN, LAUREN RENEE (DO, MS)
Entity type:Individual
Prefix:DR
First Name:LAUREN
Middle Name:RENEE
Last Name:CROWSON-HINDMAN
Suffix:
Gender:F
Credentials:DO, MS
Other - Prefix:DR
Other - First Name:LAUREN
Other - Middle Name:RENEE
Other - Last Name:CROWSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO, MS
Mailing Address - Street 1:169 ASHLEY AVENUE
Mailing Address - Street 2:ROOM 202 MAIN HOSPITAL
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29425
Mailing Address - Country:US
Mailing Address - Phone:843-792-1086
Mailing Address - Fax:843-792-8974
Practice Address - Street 1:169 ASHLEY AVENUE
Practice Address - Street 2:ROOM 202 MAIN HOSPITAL
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29425
Practice Address - Country:US
Practice Address - Phone:843-792-1086
Practice Address - Fax:843-792-8974
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-07
Last Update Date:2019-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCLL82207207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology