Provider Demographics
NPI:1942479613
Name:RICHARD, LAUREN D (RN)
Entity Type:Individual
Prefix:MISS
First Name:LAUREN
Middle Name:D
Last Name:RICHARD
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:534 CONKEY ST
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:HAMMOND
Mailing Address - State:IN
Mailing Address - Zip Code:46324-1100
Mailing Address - Country:US
Mailing Address - Phone:219-933-7111
Mailing Address - Fax:219-933-6657
Practice Address - Street 1:534 CONKEY ST
Practice Address - Street 2:2ND FLOOR
Practice Address - City:HAMMOND
Practice Address - State:IN
Practice Address - Zip Code:46324-1100
Practice Address - Country:US
Practice Address - Phone:219-933-7111
Practice Address - Fax:219-933-6657
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-26
Last Update Date:2008-02-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IN28171444A163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse