LAUREN ELIZABETH BANASZAK

DALTON, GA
NPI1346817079
Former NameLAUREN ELIZABETH HALVERSON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy367A00000X Advanced Practice Midwife
(Licence: GA  RN301551)
Enumeration Date2021-06-10
Last Update Date2021-06-10
Business Address
LAUREN ELIZABETH BANASZAK CNM
1105 BURLEYSON RD
DALTON, GA 30720-3181
Phone number: 706-278-4640
Mailing Address
LAUREN ELIZABETH BANASZAK CNM
1105 BURLEYSON RD
DALTON, GA 30720-3181
Phone number: 706-278-4640