Healthcare Provider Details

I. General information

NPI: 1942153804
Provider Name (Legal Business Name): LAUREN LENGERS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/19/2026
Last Update Date: 02/19/2026
Certification Date: 02/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

220 GREEN BAY RD NW
OCEAN ISLE BEACH NC
28469-3526
US

IV. Provider business mailing address

220 GREEN BAY RD NW
OCEAN ISLE BEACH NC
28469-3526
US

V. Phone/Fax

Practice location:
  • Phone: 910-770-1914
  • Fax:
Mailing address:
  • Phone: 910-770-1914
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF01260897
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: