Provider Demographics
NPI:1831568864
Name:LEE, LAUREN HILLARY (MA, CCC-SLP)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:HILLARY
Last Name:LEE
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:818 DORSEY WAY
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40223-2711
Mailing Address - Country:US
Mailing Address - Phone:502-494-0485
Mailing Address - Fax:
Practice Address - Street 1:4033 TAYLORSVILLE RD STE 100
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40220-1521
Practice Address - Country:US
Practice Address - Phone:502-893-8414
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-21
Last Update Date:2024-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY140371235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist