| Doctor Name: | LAUREN NICOLE WORSHAM |
| NPI Number: | 1134359029 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PNP |
| License Number: | 3958 |
| Business Practice Address: | 210 W Main St Bennettsville, SC - 295123122 |
| Business Phone Number: | 8433325121 |
| Business Fax Number: | |
| Mailing Address: | Po Box 1090, HARTSVILLE |
| State: | SC |
| Postal Code: | 295511090 |
| Phone Number: | 8438570111 |
| Fax Number: | |
| NPI Enumeration Date: | 07/25/2009 |
| NPI Last Update Date: | 06/02/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | 3958 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | SC |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |