Individual
LAUREN ELISABETH COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
1404 CILANTRO CT, TEGA CAY, SC 29708-0133
(804) 616-8471
Mailing address
1404 CILANTRO CT, TEGA CAY, SC 29708-0133
(804) 616-8471
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
00000000
SC
Other
Enumeration date
11/08/2019
Last updated
11/08/2019
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