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NPI Code Detail

MEDICARE: LAUREN A BUONO PHD

MEDICARE: LAUREN A BUONO PHD
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
1103G00000XClinical Neuropsychologist2101GA

General Provider Information

NPI Number : 1972560589
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAUREN A BUONO PHD
Provider Business Mailing Address
First Line : 1201 BURLEYSON RD
Second Line :
City : DALTON
State : GA
Zip : 30720-3019
Country : US
Telephone Number : 706-226-8900
Fax Number : 706-226-8905
Provider Business Practice Location Address
First Line : 1201 BURLEYSON RD
Second Line :
City : DALTON
State : GA
Zip : 30720-3019
Country : US
Telephone Number : 706-226-8900
Fax Number : 706-226-8905
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/27/2006
Last Update Date : 01/24/2024

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Directions to “ LAUREN A BUONO PHD” Practice Location

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