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NPI 1346614757

NPI 1346614757 : LAUREN LEE DPT : OKATIE, SC

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General NPI Number Information
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    NPI Number           |    1346614757
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    Entity Type          |    Individual 
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    Provider Name        |    LAUREN LEE DPT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    11/23/2015
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    Last Update Date     |    03/28/2025
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Provider Practice Location Address
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    Address Line         |    100 OKATIE CENTER BLVD N 
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    City                 |    OKATIE
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    State                |    SC
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    Zip                  |    29909-3750
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    Country              |    US
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    Telephone            |    843-547-4058
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    Fax                  |    540-672-2709
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Provider Business Mailing Address
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    Address Line         |    100 OKATIE CENTER BLVD N 
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    City                 |    OKATIE
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    State                |    SC
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    Zip                  |    29909-3750
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    Country              |    US
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    Telephone            |    843-547-4058
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    Fax                  |    866-500-4565
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    2305209959
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    License Number State |    VA
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Taxonomy #2
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    Taxonomy Code        |    2251X0800X
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    Taxonomy Name        |    Orthopedic Physical Therapist
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    License Number       |    013099
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    License Number State |    GA
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Taxonomy #3
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    Taxonomy Code        |    2251X0800X
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    Taxonomy Name        |    Orthopedic Physical Therapist
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    License Number       |    9438
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    License Number State |    SC
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