Healthcare Provider Details

I. General information

NPI: 1346105855
Provider Name (Legal Business Name): LAUREN ELIZABETH TAYLOR AUD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/17/2025
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2089 TERON TRCE STE 215
DACULA GA
30019-1609
US

IV. Provider business mailing address

5716 E WOLF CREEK RD
TIGER GA
30576-2936
US

V. Phone/Fax

Practice location:
  • Phone: 770-237-3000
  • Fax: 770-237-3000
Mailing address:
  • Phone: 706-982-1350
  • Fax: 706-982-1350

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberAUD004491
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: