Provider Demographics
NPI:1306207477
Name:GOGGIN, LAUREN (RN)
Entity Type:Individual
Prefix:MRS
First Name:LAUREN
Middle Name:
Last Name:GOGGIN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 SPARTAN WAY
Mailing Address - Street 2:HIGH SCHOOL HEALTH OFFICE
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14624-1448
Mailing Address - Country:US
Mailing Address - Phone:585-247-2420
Mailing Address - Fax:585-340-5545
Practice Address - Street 1:1 SPARTAN WAY
Practice Address - Street 2:HIGH SCHOOL HEALTH OFFICE
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14624-1448
Practice Address - Country:US
Practice Address - Phone:585-247-2420
Practice Address - Fax:585-340-5545
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-16
Last Update Date:2016-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY667026163WS0200X, 163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool
No163W00000XNursing Service ProvidersRegistered Nurse