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NPI Code Detail

MEDICARE: LAUREN E CROSBY APRN, ACNS-BC

MEDICARE: LAUREN E CROSBY APRN, ACNS-BC
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
1364SA2200XAdult Health Clinical Nurse SpecialistNS-15089OH

General Provider Information

NPI Number : 1265855225
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAUREN E CROSBY APRN, ACNS-BC
Provider Business Mailing Address
First Line : 1730 W 25TH ST
Second Line :
City : CLEVELAND
State : OH
Zip : 44113-3170
Country : US
Telephone Number : 216-425-7403
Fax Number :
Provider Business Practice Location Address
First Line : 1730 W 25TH ST
Second Line :
City : CLEVELAND
State : OH
Zip : 44113-3170
Country : US
Telephone Number : 216-425-7403
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/28/2014
Last Update Date : 03/18/2024

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