| Doctor Name: | DR. LAUREN POWELL |
| NPI Number: | 1588078042 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DNP |
| License Number: | 18848 |
| Business Practice Address: | 99 N Mill St Little Mountain, SC - 290758788 |
| Business Phone Number: | 8039451005 |
| Business Fax Number: | |
| Mailing Address: | 12 Veterans Pointe Ln, COLUMBIA |
| State: | SC |
| Postal Code: | 292091570 |
| Phone Number: | 8034477860 |
| Fax Number: | |
| NPI Enumeration Date: | 06/12/2014 |
| NPI Last Update Date: | 06/12/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 18848 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | SC |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |