Lee, Lauren

Lee, Lauren is an individual health care provider with primary practice located at 15489 Dedeaux Rd , Gulfport MS 39503-2667. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Lee, Lauren can be contacted via phone (228) 357-5671.

Contact Information

Primary practice address
15489 Dedeaux Rd Gulfport MS 39503-2667
Phone: (228) 357-5671
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X 19-103765 Mississippi

Profile Details

NPI number 1760091995
LBN Legal business name Lee, Lauren
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 23rd, 2020
Last updated Jul 23rd, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760091995 NPPES
Mississippi Other 802488417 MS DRIVERS LICENSE

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