Healthcare Provider Details

I. General information

NPI: 1962992024
Provider Name (Legal Business Name): LAUREN ELIZABETH OLOUGHLIN ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/15/2018
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

124 EMERALD CREEK AVE
GREER SC
29651-5459
US

IV. Provider business mailing address

124 EMERALD CREEK AVE
GREER SC
29651-5459
US

V. Phone/Fax

Practice location:
  • Phone: 727-424-0104
  • Fax: 864-448-1500
Mailing address:
  • Phone: 864-756-3963
  • Fax: 864-448-1500

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number27001
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: