| NPI | 1235471905 |
|---|---|
| Former Name | LAUREN S FOULKE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: IL 036.149867) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036-149867) |
| Enumeration Date | 2013-03-20 |
| Last Update Date | 2025-01-27 |