Lauren Elizabeth Bazemore, MSP, CCC-SLP
Speech-Language Pathologist, in Waynesboro, GA. Individual provider (NPI-1).
NPI number1669955852
StatusActive
Last updated in NPPESSep 13, 2018
Details
- NPI
- 1669955852
- Entity type
- Individual (NPI-1)
- Name
- Lauren Elizabeth Bazemore
- Credential
- MSP, CCC-SLP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 13, 2018
- Last updated
- Sep 13, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | SLP010117 | GA | Yes |
Practice location
727 W 6th StWaynesboro, GA 30830-4407
Phone 706-592-5565 · Fax 706-751-0825
Mailing address
2312 1/2 Walton WayAugusta, GA 30904-6124
Phone 912-978-0564 · Fax 706-751-0825
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