| NPI | 1982228995 |
|---|---|
| Former Name | LAUREN POAG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: AR 212492) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AR R105246) |
| Enumeration Date | 2020-06-04 |
| Last Update Date | 2020-07-16 |