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NPI Code Detail

MEDICARE: DR. LAUREN NICOLE GOMEZ DPM

MEDICARE: DR. LAUREN NICOLE GOMEZ DPM
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 ProgramIL

General Provider Information

NPI Number : 1669303038
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LAUREN NICOLE GOMEZ DPM
Provider Business Mailing Address
First Line : 2900 N LAKE SHORE DR
Second Line :
City : CHICAGO
State : IL
Zip : 60657-5640
Country : US
Telephone Number : 773-665-3000
Fax Number :
Provider Business Practice Location Address
First Line : 2900 N LAKE SHORE DR
Second Line :
City : CHICAGO
State : IL
Zip : 60657-5640
Country : US
Telephone Number : 773-665-3000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/26/2026
Last Update Date : 05/26/2026

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