Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LF0000X | Nurse Practitioner - Family Medicine | 5010231 | NC |
NPI | 1003324500 |
---|---|
Provider Name | Mrs. Lauren Ann Patterson |
First Address | Fuquay Varina, NC 27526-2026 |
Second Address | Fuquay Varina, NC 27526-2026 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/01/2018 |
Last Update Date | 03/12/2021 |