MEDICARE: LAUREN BROOKE RAUH

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	163WP2201X	Ambulatory Care Registered Nurse	358003	NC

General Provider Information

NPI Number	:	1184504110
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAUREN BROOKE RAUH

Provider Business Mailing Address
First Line	:	85 NOBLE HEART PL
Second Line	:
City	:	FUQUAY VARINA
State	:	NC
Zip	:	27526-3448
Country	:	US
Telephone Number	:	845-443-6901
Fax Number	:

Provider Business Practice Location Address
First Line	:	7021 HARPS MILL RD STE 100
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27615-3240
Country	:	US
Telephone Number	:	919-576-8480
Fax Number	:

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

Provider Enumeration Date	:	09/02/2025
Last Update Date	:	09/02/2025

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