| NPI | 1215185954 |
|---|---|
| Former Name | LAUREN PATRICIA GRANT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: KY 55283) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 01072327) |
| Enumeration Date | 2008-09-07 |
| Last Update Date | 2023-12-01 |