| NPI | 1255079067 |
|---|---|
| Former Name | LAUREN ELIZABETH BRANSCOMB |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA DN1859411) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MA forthcoming) |
| Enumeration Date | 2022-05-23 |
| Last Update Date | 2024-12-04 |