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NPI Code Detail

MEDICARE: LAUREN BRYSON

MEDICARE:   LAUREN  BRYSON
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
1163W00000XRegistered NurseRN312445GA

General Provider Information

NPI Number : 1295679199
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAUREN BRYSON
Provider Business Mailing Address
First Line : 887 EDWIN LN
Second Line :
City : SUGAR HILL
State : GA
Zip : 30518-5223
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 887 EDWIN LN
Second Line :
City : SUGAR HILL
State : GA
Zip : 30518-5223
Country : US
Telephone Number : 773-759-2605
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/20/2026
Last Update Date : 04/20/2026

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Directions to “ LAUREN BRYSON ” Practice Location

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