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NPI Code Detail

MEDICARE: LAUREN NICOLE BUMP PA

MEDICARE: LAUREN NICOLE BUMP PA
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
1363A00000XPhysician Assistant0010-13391NC

General Provider Information

NPI Number : 1265190276
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAUREN NICOLE BUMP PA
Provider Business Mailing Address
First Line : 1072 X RAY DR
Second Line :
City : GASTONIA
State : NC
Zip : 28054-7488
Country : US
Telephone Number : 704-671-1094
Fax Number : 704-671-1095
Provider Business Practice Location Address
First Line : 12611 N COMMUNITY HOUSE RD STE 102
Second Line :
City : CHARLOTTE
State : NC
Zip : 28277-3817
Country : US
Telephone Number : 704-544-8200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/07/2021
Last Update Date : 12/30/2025

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Directions to “ LAUREN NICOLE BUMP PA” Practice Location

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