Provider Demographics
NPI:1336851427
Name:CRANE, LAUREN KATHLEEN (RN)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:KATHLEEN
Last Name:CRANE
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 1:1018 NE COCO CT
Mailing Address - Street 2:
Mailing Address - City:BREMERTON
Mailing Address - State:WA
Mailing Address - Zip Code:98311-9327
Mailing Address - Country:US
Mailing Address - Phone:360-490-8912
Mailing Address - Fax:
Practice Address - Street 1:5410 NE WINDERMERE RD
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98105-2161
Practice Address - Country:US
Practice Address - Phone:360-490-8912
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-20
Last Update Date:2022-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN60687222163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health