| NPI | 1063828184 |
|---|---|
| Former Name | LAUREN LORTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MN 73123) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125065769) |
| 207Q00000X Family Medicine (Licence: MO 2021034580) | |
| Enumeration Date | 2014-07-09 |
| Last Update Date | 2023-01-30 |