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NPI Code Detail

MEDICARE: LAUREN WARNSTADT

MEDICARE: LAUREN WARNSTADT
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
1164W00000XLicensed Practical NursePN5212158FL

General Provider Information

NPI Number : 1992243869
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAUREN WARNSTADT
Provider Business Mailing Address
First Line : 5141 VIRGINIA WAY STE 350
Second Line :
City : BRENTWOOD
State : TN
Zip : 37027-2319
Country : US
Telephone Number : 615-635-0442
Fax Number :
Provider Business Practice Location Address
First Line : 14730 COBRA WAY
Second Line :
City : HUDSON
State : FL
Zip : 34669-1083
Country : US
Telephone Number : 615-635-0442
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/10/2017
Last Update Date : 02/10/2017

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Directions to “ LAUREN WARNSTADT ” Practice Location

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