Healthcare Provider Details

I. General information

NPI: 1528972825
Provider Name (Legal Business Name): LAUREN NICOLE MAYHONE DFNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/01/2026
Last Update Date: 10/01/2026
Certification Date: 09/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1085 NE GATEWAY CT NE STE 300
CONCORD NC
28025-2457
US

IV. Provider business mailing address

136 WESSER ST
DAVIDSON NC
28036-6966
US

V. Phone/Fax

Practice location:
  • Phone: 704-403-2525
  • Fax:
Mailing address:
  • Phone: 704-380-7311
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number5025605
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: