| NPI | 1003262783 |
|---|---|
| Former Name | LAUREN HEESON IM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ 25MB10503700) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2016-05-11 |
| Last Update Date | 2020-07-17 |