Healthcare Provider Details

I. General information

NPI: 1225966054
Provider Name (Legal Business Name): LAUREN ELIZABETH ALLEN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/12/2026
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 W BROAD ST
ATHENS GA
30606-3544
US

IV. Provider business mailing address

180 WESTWOOD ST
DANIELSVILLE GA
30633-1114
US

V. Phone/Fax

Practice location:
  • Phone: 706-227-4199
  • Fax:
Mailing address:
  • Phone: 706-207-0334
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License NumberHADS001192
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: