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Search › North Carolina › 103T00000X

Lauren Kavanaugh-Wallace, PSYD

NPI 1649459397 · on the registry since 2007 · sole proprietor

Practice

Address
18805 W Catawba Ave
Ste 207
Cornelius, NC 28031
Phone
(704) 787-4272
Fax
(980) 321-7106
Organisation at this address
Renew Speciality Group
Dr. Gary Draper Dc Pllc
Renew Health And Wellness
Renew Wound Care Specialists
Renew Wound Care Center Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
9

Registry record

Primary taxonomy
103T00000X
103T00000X
Also registered as
103T00000X
103TC0700X
103TC0700X
Licence states on file
NC, MI, IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2012-01-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina