Healthcare Provider Details

I. General information

NPI: 1952896789
Provider Name (Legal Business Name): LAUREN BARBARA CRAWFORD MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/25/2018
Last Update Date: 08/04/2025
Certification Date: 08/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

96 JONATHAN STREET SUITE 301
CHARLESTON SC
29425-0001
US

IV. Provider business mailing address

152 SPRING ST APT E
CHARLESTON SC
29403-5677
US

V. Phone/Fax

Practice location:
  • Phone: 843-792-3222
  • Fax:
Mailing address:
  • Phone: 610-331-1595
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number01093388A
License Number StateIN
# 2
Primary TaxonomyN
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number0101282968
License Number StateVA
# 3
Primary TaxonomyN
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberA198803
License Number StateCA
# 4
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberLL52797
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: