MEDICARE: DR. LAUREN MARIE MCCAIN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	S-D95-TA-A94	AL
2	152W00000X	Optometrist	1885-820AT	LA

General Provider Information

NPI Number	:	1467961342
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LAUREN MARIE MCCAIN

Provider Business Mailing Address
First Line	:	836 UNIVERSITY DR
Second Line	:
City	:	LAKE CHARLES
State	:	LA
Zip	:	70605-6120
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	836 UNIVERSITY DR
Second Line	:
City	:	LAKE CHARLES
State	:	LA
Zip	:	70605-6120
Country	:	US
Telephone Number	:	337-372-1333
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/23/2017
Last Update Date	:	11/19/2019

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