Lauren Colby Mangum, PHD, LAT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AL5447 Issued in FL

Practice address

4364 Scorpius Street HS2 Room 235
Orlando, FL 32816-2455

Phone

(407) 823-2795

NPI assigned

May 15, 2012

Last updated

Jan 26, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1337040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674691200000",
    "number": "1770842494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4364 SCORPIUS STREET HS2 ROOM 235",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328160001",
            "telephone_number": "407-823-2795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4364 SCORPIUS STREET HS2 ROOM 235",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328162455",
            "telephone_number": "407-823-2795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANGUM",
        "first_name": "LAUREN",
        "middle_name": "COLBY",
        "credential": "PHD, LAT, ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-15",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "SC",
            "license": "1168",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "FL",
            "license": "AL5447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gina Dellacgua Mangin, PAC
• Sunanda Mangraj, MD
• Leyshka Mangual Rivera
• Viken A. Manguikian, O.D.
• Hailey Madison Mangum, APRN
• Gigi Maniar, MD
• Nimish Maniar, D.M.D
• Suresh Kumar Manickavel, M.D.
• John Eugene Manigault, PHARMACIST
• Manik Healing Arts, LLC

• Athletic Trainer in Orlando, FL
• Providers in Orlando, FL by specialty
• Athletic Trainer in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.