MEDICARE: LAUREN ELIZABETH HANLEY

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
1	390200000X	Student in an Organized Health Care Education/Training Program
2	208000000X	Pediatrics Physician	2026-01830	NC

General Provider Information

NPI Number	:	1124717251
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAUREN ELIZABETH HANLEY

Provider Business Mailing Address
First Line	:	PEDIATRIC EDUCATION OFFICE CAMPUS BOX 7593
Second Line	:
City	:	CHAPEL HILL
State	:	NC
Zip	:	27599-7593
Country	:	US
Telephone Number	:	919-966-3172
Fax Number	:	336-832-3152

Provider Business Practice Location Address
First Line	:	301 E WENDOVER AVE STE 400
Second Line	:
City	:	GREENSBORO
State	:	NC
Zip	:	27401-1207
Country	:	US
Telephone Number	:	336-832-3150
Fax Number	:	336-832-3152

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/04/2023
Last Update Date	:	06/02/2026

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Directions to “ LAUREN ELIZABETH HANLEY ” Practice Location

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