Individual
LAUREN KRISTEN LEACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
131 SUMMERPLACE DR, WEST COLUMBIA, SC 29169-3058
(749) 780-3590
Mailing address
131 SUMMERPLACE DR, WEST COLUMBIA, SC 29169-3058
(803) 794-4585
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
28011
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
APPROVED
BCBS, STATE, FEDERAL, BCHP
SC
05
—
NN0809
—
SC
Enumeration date
03/06/2024
Last updated
10/05/2025
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