| NPI | 1275127680 |
|---|---|
| Former Name | LAUREN MICHELLE LEWIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0024184805) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN11010251) |
| Enumeration Date | 2021-02-25 |
| Last Update Date | 2024-07-29 |