Healthcare Provider Details

I. General information

NPI: 1841126422
Provider Name (Legal Business Name): LAUREN ELIZABETH MCCASKILL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/22/2026
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6311 GARNERS FERRY RD
COLUMBIA SC
29209-1445
US

IV. Provider business mailing address

1414 WOODROW ST
COLUMBIA SC
29205-1231
US

V. Phone/Fax

Practice location:
  • Phone: 803-727-6719
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number247827
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: