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NPI Code Detail

MEDICARE: MISS LAUREN HOLCOMBE APRN, CNP

MEDICARE: MISS LAUREN HOLCOMBE APRN, CNP
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
1363L00000XNurse PractitionerAPRN.CNP.0029490OH
2363LF0000XFamily Nurse PractitionerAPRN.CNP.0029490OH

General Provider Information

NPI Number : 1265194229
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS LAUREN HOLCOMBE APRN, CNP
Provider Business Mailing Address
First Line : 4300 CLIME RD
Second Line :
City : COLUMBUS
State : OH
Zip : 43228-6491
Country : US
Telephone Number : 419-852-3979
Fax Number :
Provider Business Practice Location Address
First Line : 1690 QUARRY TRCE
Second Line :
City : COLUMBUS
State : OH
Zip : 43204-4890
Country : US
Telephone Number : 419-852-3979
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/07/2021
Last Update Date : 09/27/2022

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