| NPI | 1003350752 |
|---|---|
| Former Name | LAUREN RAE ANDERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.020687) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WV APRN81885-FNP-BC) |
| Enumeration Date | 2016-12-15 |
| Last Update Date | 2024-02-05 |