| NPI | 1558619536 |
|---|---|
| Former Name | LAUREN ANN CHIPPONERI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704316428) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9383489) |
| Enumeration Date | 2012-08-21 |
| Last Update Date | 2023-01-30 |