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NPI Code Detail

MEDICARE: LAUREN DOWD VICTOR FNP-BC

MEDICARE: LAUREN DOWD VICTOR FNP-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
1363LX0001XObstetrics & Gynecology Nurse Practitioner30471SC
2363LF0000XFamily Nurse Practitioner2016011859IL
3363LX0001XObstetrics & Gynecology Nurse Practitioner95017603CA

General Provider Information

NPI Number : 1538613906
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAUREN DOWD VICTOR FNP-BC
Provider Business Mailing Address
First Line : PO BOX 751649
Second Line :
City : CHARLOTTE
State : NC
Zip : 28275-1649
Country : US
Telephone Number : 888-472-0043
Fax Number : 843-724-2440
Provider Business Practice Location Address
First Line : 2097 HENRY TECKLENBURG DR STE 312W
Second Line :
City : CHARLESTON
State : SC
Zip : 29414-5744
Country : US
Telephone Number : 843-789-1800
Fax Number : 843-606-8036
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/15/2016
Last Update Date : 12/08/2025

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Directions to “ LAUREN DOWD VICTOR FNP-BC” Practice Location

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