| NPI | 1457615684 |
|---|---|
| Former Name | LAUREN KAY MONTGOMERY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11027161) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: IN 71004001A) |
| Enumeration Date | 2012-07-03 |
| Last Update Date | 2024-05-16 |