MEDICARE: LAUREN KIERSTEN FINN

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	390200000X	Student in an Organized Health Care Education/Training Program		NC

General Provider Information

NPI Number	:	1306709449
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAUREN KIERSTEN FINN

Provider Business Mailing Address
First Line	:	8812 RAINER WAY
Second Line	:
City	:	WAKE FOREST
State	:	NC
Zip	:	27587-8692
Country	:	US
Telephone Number	:	845-598-8577
Fax Number	:

Provider Business Practice Location Address
First Line	:	3725 NATIONAL DR STE 220
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27612-4879
Country	:	US
Telephone Number	:	919-781-8370
Fax Number	:

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

Provider Enumeration Date	:	12/05/2025
Last Update Date	:	12/05/2025

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