Individual
DR. LAUREN BEASLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1301 TAYLOR ST STE 6J, COLUMBIA, SC 29201-2930
(803) 296-2942
Mailing address
882 S KINGS GRANT DR, COLUMBIA, SC 29209-5726
(757) 536-2465
(803) 296-7330
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
0101254043
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
829866
—
SC
Enumeration date
05/30/2012
Last updated
09/08/2022
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