Provider Demographics
NPI:1679148985
Name:HONAN, LAUREN JUNE
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:JUNE
Last Name:HONAN
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 1:412 CAPISTRANO DR
Mailing Address - Street 2:
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33410-4300
Mailing Address - Country:US
Mailing Address - Phone:561-283-6863
Mailing Address - Fax:
Practice Address - Street 1:412 CAPISTRANO DR
Practice Address - Street 2:
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33410-4300
Practice Address - Country:US
Practice Address - Phone:561-283-6863
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-20
Last Update Date:2021-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY09012021374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula