Healthcare Provider Details

I. General information

NPI: 1235684044
Provider Name (Legal Business Name): LAUREN GOCHENAUR CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/22/2016
Last Update Date: 11/12/2025
Certification Date: 11/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

777 HEMLOCK ST
MACON GA
31201-2102
US

IV. Provider business mailing address

2886 REGINA DR
MACON GA
31216-6356
US

V. Phone/Fax

Practice location:
  • Phone: 478-633-2147
  • Fax:
Mailing address:
  • Phone: 478-361-2227
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberRN200275
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: