LAUREN MARIE BASS

CHARLESTON, SC
NPI1033515812
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: SC  5315)
Additional Taxonomies363A00000X Physician Assistant
(Licence: NY  18206)
Enumeration Date2014-11-06
Last Update Date2024-11-19
Business Address
LAUREN MARIE BASS
2145 HENRY TECKLENBURG DR STE 220
CHARLESTON, SC 29414-5894
Phone number: 843-723-8823
Mailing Address
LAUREN MARIE BASS
PO BOX 751649
CHARLOTTE, NC 28275-1649
Phone number: 888-472-0043