| NPI | 1730530122 |
|---|---|
| Former Name | LAUREN ELIZABETH RECKMEYER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NE 112429) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MN 4587) |
| Enumeration Date | 2016-06-27 |
| Last Update Date | 2019-03-19 |