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NPI Code Detail

MEDICARE: LAUREN FAETH

MEDICARE:   LAUREN  FAETH
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
1163W00000XRegistered NurseRN68438ME

General Provider Information

NPI Number : 1982389250
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAUREN FAETH
Provider Business Mailing Address
First Line : 700 CHAPPELL RD
Second Line :
City : CHARLESTON
State : WV
Zip : 25304-2704
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 700 CHAPPELL RD
Second Line :
City : CHARLESTON
State : WV
Zip : 25304-2704
Country : US
Telephone Number : 304-757-9333
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2023
Last Update Date : 06/15/2023

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Directions to “ LAUREN FAETH ” Practice Location

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