Healthcare Provider Details

I. General information

NPI: 1417747338
Provider Name (Legal Business Name): LAUREN MCCORMICK DC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/12/2025
Last Update Date: 05/15/2025
Certification Date: 05/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

99198 OVERSEAS HWY STE 8
KEY LARGO FL
33037-2437
US

IV. Provider business mailing address

432 LIME DR
KEY LARGO FL
33037-4542
US

V. Phone/Fax

Practice location:
  • Phone: 305-451-3337
  • Fax:
Mailing address:
  • Phone: 305-783-8655
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH15469
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: