Healthcare Provider Details

I. General information

NPI: 1841150810
Provider Name (Legal Business Name): LAUREN JUNE FINGAR
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/13/2025
Last Update Date: 11/13/2025
Certification Date: 11/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2113 ADAMS GRV
COLUMBIA SC
29203-6951
US

IV. Provider business mailing address

1025 W MAIN ST
RIDGE SPRING SC
29129-9413
US

V. Phone/Fax

Practice location:
  • Phone: 803-767-4832
  • Fax:
Mailing address:
  • Phone: 864-344-9295
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number7785
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: