1386325991 NPI number — LAUREN WORTH POIROUX MS, ALC

Table of content: LAUREN WORTH POIROUX MS, ALC (NPI 1386325991)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1386325991 NPI number — LAUREN WORTH POIROUX MS, ALC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
POIROUX
Provider First Name:
LAUREN
Provider Middle Name:
WORTH
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MS, ALC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1386325991
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/01/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
704 MANDRELL ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MOBILE
Provider Business Mailing Address State Name:
AL
Provider Business Mailing Address Postal Code:
36606-4544
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
251-421-2812
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3929 AIRPORT BLVD STE 2-104
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MOBILE
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
36609-2237
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
251-384-2382
Provider Business Practice Location Address Fax Number:
251-650-1736
Provider Enumeration Date:
07/26/2023

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YM0800X , registered in the state of AL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)