Lauren Elizabeth Bazemore, MSP, CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Waynesboro, GA
NPI 1669955852 · NPPES record last updated Sep 13, 2018
Key facts
- NPI
- 1669955852
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- SLP010117 (GA)
- Practice address
- 727 W 6TH St
Waynesboro, GA 30830-4407 - Phone
- (706) 592-5565
- Fax
- (706) 751-0825
- NPI assigned
- Sep 13, 2018
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLP010117 | GA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Csra Therapy Services Inc | Speech-Language Pathologist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SLP010117 | GA | Yes |
Addresses
Primary practice location
727 W 6TH St
Waynesboro, GA 30830-4407
Mailing address
2312 1/2 Walton Way
Augusta, GA 30904-6124
Phone (912) 978-0564
Other providers in Waynesboro, GA
- Lynda N Bailey
- Jessica Baker
- Mary Elizabeth Roby Baker
- Gilbert W Banks
- Shayna Barnett
- Darlene Skinner Beazley
- Greta Latoria Bell
- Summer Bentley
- Bonnie P Jenkins MD PC
- Kimberly M Boothe
All providers in Waynesboro, GA · Speech-Language Pathologist in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 13, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.