Provider Demographics
NPI:1477240349
Name:HAMILTON, LAUREN BAILEA
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:BAILEA
Last Name:HAMILTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1309 N ARKANSAS AVE
Mailing Address - Street 2:
Mailing Address - City:ALMA
Mailing Address - State:AR
Mailing Address - Zip Code:72921-7284
Mailing Address - Country:US
Mailing Address - Phone:479-226-0391
Mailing Address - Fax:
Practice Address - Street 1:1309 N ARKANSAS AVE
Practice Address - Street 2:
Practice Address - City:ALMA
Practice Address - State:AR
Practice Address - Zip Code:72921-7284
Practice Address - Country:US
Practice Address - Phone:479-226-0391
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-20
Last Update Date:2023-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR050567591215E376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide