| NPI | 1962765974 |
|---|---|
| Former Name | LAUREN K MUCKLEROY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: TX 48086) |
| Additional Taxonomies | 208600000X Surgery (Licence: TX 47647) |
| 208600000X Surgery (Licence: MO 2010020704) | |
| 208600000X Surgery (Licence: TX 48086) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: TX 47647) | |
| Enumeration Date | 2012-06-25 |
| Last Update Date | 2023-08-14 |