| NPI | 1669817011 |
|---|---|
| Former Name | LAUREN HENDERSON LOMAX |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology (Licence: GA 86208) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: CA A148084) |
| Enumeration Date | 2013-04-29 |
| Last Update Date | 2023-02-28 |