Healthcare Provider Details

I. General information

NPI: 1548632417
Provider Name (Legal Business Name): LAUREN IRENE ESPOSITO AU.D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LAUREN IRENE STEPHENSON AU.D

II. Dates (important events)

Enumeration Date: 10/30/2015
Last Update Date: 01/07/2021
Certification Date: 01/07/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

319 FALLS DRIVE
ABINGDON VA
24210
US

IV. Provider business mailing address

319 FALLS DRIVE
ABINGDON VA
24210
US

V. Phone/Fax

Practice location:
  • Phone: 276-676-1111
  • Fax: 276-676-1112
Mailing address:
  • Phone: 276-676-1111
  • Fax: 276-676-1112

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: