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NPI Code Detail

MEDICARE: LAUREN FINNERTY NP-C

MEDICARE:   LAUREN  FINNERTY  NP-C
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
1363LF0000XFamily Nurse Practitioner2017032223MO

General Provider Information

NPI Number : 1932618477
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAUREN FINNERTY NP-C
Provider Business Mailing Address
First Line : 845 N NEW BALLAS CT STE 120
Second Line :
City : CREVE COEUR
State : MO
Zip : 63141-7169
Country : US
Telephone Number : 314-200-0997
Fax Number :
Provider Business Practice Location Address
First Line : 845 N NEW BALLAS CT STE 120
Second Line :
City : CREVE COEUR
State : MO
Zip : 63141-7169
Country : US
Telephone Number : 314-200-0997
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/27/2017
Last Update Date : 07/21/2022

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Directions to “ LAUREN FINNERTY NP-C” Practice Location

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