Healthcare Provider Details

I. General information

NPI: 1285805101
Provider Name (Legal Business Name): LAUREN MICHELLE RENZI SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/19/2008
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 W WILLIAMS ST STE 271
APEX NC
27502-5204
US

IV. Provider business mailing address

800 W WILLIAMS ST
APEX NC
27502-5203
US

V. Phone/Fax

Practice location:
  • Phone: 919-610-9298
  • Fax: 844-587-9553
Mailing address:
  • Phone: 919-610-9298
  • Fax: 844-587-9553

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number13785
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: