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Individual
LAUREN ROSEMARY VANDERMARK
Active
Individual
LAUREN ROSEMARY VANDERMARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
RN260411
GA
363L00000X
Nurse Practitioner
RN260411
GA
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
RN260411
GA
Other
Enumeration date
07/24/2019
Last updated
08/09/2023
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