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General NPI Number Information
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NPI Number | 1063972552
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Entity Type | Individual
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Provider Name | LAUREN LACEY HUGHES MD
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Gender | Female
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Dates
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Enumeration Date | 03/21/2019
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Last Update Date | 01/23/2026
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Provider Practice Location Address
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Address Line | 11260 E JEFFERSON AVE
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City | DETROIT
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State | MI
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Zip | 48214-3320
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Country | US
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Telephone | 313-749-0148
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 746722
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City | ATLANTA
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State | GA
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Zip | 30374-6722
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Country | US
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Telephone | 773-352-1515
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD480580
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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