Healthcare Provider Details

I. General information

NPI: 1073916268
Provider Name (Legal Business Name): LAUREN LAYNE RICHARDSON PA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LAUREN LAYNE PA-C

II. Dates (important events)

Enumeration Date: 10/01/2014
Last Update Date: 03/09/2026
Certification Date: 03/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29710 URGENT CARE DR
DAPHNE AL
36526-9595
US

IV. Provider business mailing address

29710 URGENT CARE DR
DAPHNE AL
36526-9595
US

V. Phone/Fax

Practice location:
  • Phone: 251-626-3782
  • Fax:
Mailing address:
  • Phone: 251-626-3782
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: