| NPI | 1326467614 |
|---|---|
| Former Name | LAUREN ELIZABETH LEWIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 288115) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: GA 83103) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-04-15 |
| Last Update Date | 2022-09-30 |