Provider Demographics
NPI:1275032088
Name:KUEBECK, LAUREN ELIZABETH (CPNP)
Entity Type:Individual
Prefix:MRS
First Name:LAUREN
Middle Name:ELIZABETH
Last Name:KUEBECK
Suffix:
Gender:F
Credentials:CPNP
Other - Prefix:
Other - First Name:LAUREN
Other - Middle Name:ELIZABETH
Other - Last Name:ARINI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:522 CYNWOOD DR STE 100
Mailing Address - Street 2:
Mailing Address - City:EASTON
Mailing Address - State:MD
Mailing Address - Zip Code:21601-3877
Mailing Address - Country:US
Mailing Address - Phone:410-770-8910
Mailing Address - Fax:833-908-2284
Practice Address - Street 1:18947 JOHN J WILLIAMS HWY UNIT 212
Practice Address - Street 2:
Practice Address - City:REHOBOTH BEACH
Practice Address - State:DE
Practice Address - Zip Code:19971-4476
Practice Address - Country:US
Practice Address - Phone:302-645-8212
Practice Address - Fax:302-645-2199
Is Sole Proprietor?:No
Enumeration Date:2018-02-07
Last Update Date:2023-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR231168363LP0200X
DELJ-0010395363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics