Provider Demographics
NPI:1730343211
Name:ENLOE, LAUREN DORN (MSR, CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:LAUREN
Middle Name:DORN
Last Name:ENLOE
Suffix:
Gender:F
Credentials:MSR, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:109 WOODWAY DR
Mailing Address - Street 2:
Mailing Address - City:GREER
Mailing Address - State:SC
Mailing Address - Zip Code:29651-6835
Mailing Address - Country:US
Mailing Address - Phone:864-213-9976
Mailing Address - Fax:
Practice Address - Street 1:109 WOODWAY DR
Practice Address - Street 2:
Practice Address - City:GREER
Practice Address - State:SC
Practice Address - Zip Code:29651-6835
Practice Address - Country:US
Practice Address - Phone:864-213-9976
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-15
Last Update Date:2008-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC3837235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist