| NPI | 1720772767 |
|---|---|
| Former Name | LAUREN LORRAINE STORY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1115110) |
| Enumeration Date | 2023-06-05 |
| Last Update Date | 2023-08-17 |