NPI | 1932599628 |
---|---|
Former Name | LAUREN ELIZABETH LAGORE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: OH APRN.CNP.17135) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH RN.326681) |
Enumeration Date | 2015-02-02 |
Last Update Date | 2018-05-22 |