Provider Demographics
NPI:1982368627
Name:MCCOMB, LAUREN OLIVIA (NP)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:OLIVIA
Last Name:MCCOMB
Suffix:
Gender:F
Credentials:NP
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Other - Credentials:
Mailing Address - Street 1:127 CRESTVIEW PARK DR STE 209
Mailing Address - Street 2:
Mailing Address - City:DICKSON
Mailing Address - State:TN
Mailing Address - Zip Code:37055-2856
Mailing Address - Country:US
Mailing Address - Phone:615-446-5121
Mailing Address - Fax:
Practice Address - Street 1:300 S CLYDETON RD
Practice Address - Street 2:
Practice Address - City:WAVERLY
Practice Address - State:TN
Practice Address - Zip Code:37185-2140
Practice Address - Country:US
Practice Address - Phone:931-296-2737
Practice Address - Fax:931-296-1656
Is Sole Proprietor?:No
Enumeration Date:2021-10-28
Last Update Date:2023-09-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TN30349363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics