Provider Demographics
NPI:1518692417
Name:SIMPSON, LAUREN PENTON (RN)
Entity Type:Individual
Prefix:MRS
First Name:LAUREN
Middle Name:PENTON
Last Name:SIMPSON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MS
Other - First Name:LAUREN
Other - Middle Name:JEANNETTE
Other - Last Name:PENTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:38328 LITTLE WOODS DR
Mailing Address - Street 2:
Mailing Address - City:DENHAM SPRINGS
Mailing Address - State:LA
Mailing Address - Zip Code:70706-0373
Mailing Address - Country:US
Mailing Address - Phone:225-305-0706
Mailing Address - Fax:
Practice Address - Street 1:10343 SIEGEN LN STE 3B
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70810-4981
Practice Address - Country:US
Practice Address - Phone:225-305-0706
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-24
Last Update Date:2022-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LARN128346163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
LARN128346OtherLSBN