Individual
LAUREN MARIE BASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2145 HENRY TECKLENBURG DR STE 220, CHARLESTON, SC 29414-5894
(843) 723-8823
(843) 606-8059
Mailing address
PO BOX 751649, CHARLOTTE, NC 28275-1649
(888) 472-0043
(843) 724-2440
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
18206
NY
363A00000X
Physician Assistant
Primary
5315
SC
Other
Enumeration date
11/06/2014
Last updated
11/19/2024
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