Provider Demographics
NPI:1124537923
Name:MCMICHAEL, LAUREN M (CPNP)
Entity Type:Individual
Prefix:MRS
First Name:LAUREN
Middle Name:M
Last Name:MCMICHAEL
Suffix:
Gender:F
Credentials:CPNP
Other - Prefix:MISS
Other - First Name:LAUREN
Other - Middle Name:M
Other - Last Name:KLIEGMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:601 CHILDRENS LN
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23507-1910
Mailing Address - Country:US
Mailing Address - Phone:757-668-7237
Mailing Address - Fax:757-668-8215
Practice Address - Street 1:601 CHILDRENS LN
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23507-1910
Practice Address - Country:US
Practice Address - Phone:757-668-7237
Practice Address - Fax:757-668-8215
Is Sole Proprietor?:No
Enumeration Date:2017-09-25
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024175433363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics