| NPI | 1316503998 |
|---|---|
| Former Name | LAUREN ELIZABETH DITTMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MN 67730) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MN 30241) |
| Enumeration Date | 2019-05-19 |
| Last Update Date | 2024-05-13 |