MEDICARE: LAUREN CORCORAN OT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	115189	TX
2	225X00000X	Occupational Therapist	16860	NC

General Provider Information

NPI Number	:	1205293495
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAUREN CORCORAN OT

Provider Business Mailing Address
First Line	:	4062 IVY BLUFF TRL
Second Line	:
City	:	WINSTON SALEM
State	:	NC
Zip	:	27106-2584
Country	:	US
Telephone Number	:	616-389-5342
Fax Number	:

Provider Business Practice Location Address
First Line	:	4062 IVY BLUFF TRL
Second Line	:
City	:	WINSTON SALEM
State	:	NC
Zip	:	27106-2584
Country	:	US
Telephone Number	:	616-389-5342
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/20/2016
Last Update Date	:	08/15/2025

Similar Medicare Providers

1487849071 — MR. JOSEPH THEODORE HALE IV LPC
Practice Location Address:

4010 IVY BLUFF TRL
WINSTON SALEM, NC
27106-2584

Practice Phone: 336-922-6349
Practice Fax:

1093773699 — GREGORY MICHAEL BUGAJ MD
Practice Location Address:

4692 BROWNSBORO RD
WINSTON SALEM, NC
27106-3410

Practice Phone: 336-251-1114
Practice Fax: 336-251-1116

1356285795 — MARGRET CLARA HOME CARE SERVICES
Practice Location Address:

8025 N POINT BLVD STE 291
WINSTON SALEM, NC
27106-3868

Practice Phone: 336-978-0156
Practice Fax:

1629755483 — CHRISLANDE ST FLEUR
Practice Location Address:

4035 UNIVERSITY PKWY STE 100
WINSTON SALEM, NC
27106-3275

Practice Phone: 704-780-4271
Practice Fax:

1740408780 — MRS. DAWN MARIE COULTHURST MASON PMHNP
Practice Location Address:

1615 POLO RD
WINSTON SALEM, NC
27106-3831

Practice Phone: 336-722-7266
Practice Fax: 336-201-0538

1093681876 — EACH ONE
Practice Location Address:

4045 UNIVERSITY PKWY STE 252
WINSTON SALEM, NC
27106-3756

Practice Phone: 704-267-1368
Practice Fax:

Directions to “ LAUREN CORCORAN OT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.