Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LW0102X | Nurse Practitioner - Women's Health | APRN.CNP.023507 | OH |
NPI | 1063995405 |
---|---|
Provider Name | Lauren Zuga |
First Address | Warren, OH 44483-1853 |
Second Address | Warren, OH 44483-6638 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/09/2018 |
Last Update Date | 12/09/2018 |