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NPI Code Detail

MEDICARE: LAUREN MARIA TIFFANY

MEDICARE: LAUREN MARIA TIFFANY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training ProgramNC

General Provider Information

NPI Number : 1457217234
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAUREN MARIA TIFFANY
Provider Business Mailing Address
First Line : 202 BRACKISH RUN APT 105
Second Line :
City : WILMINGTON
State : NC
Zip : 28411-0046
Country : US
Telephone Number : 585-978-4474
Fax Number :
Provider Business Practice Location Address
First Line : 890 S KERR AVE STE 200
Second Line :
City : WILMINGTON
State : NC
Zip : 28403-4248
Country : US
Telephone Number : 843-212-6651
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/24/2025
Last Update Date : 12/24/2025

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Directions to “ LAUREN MARIA TIFFANY ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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