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Individual
LAUREN WIDMAN
Active
Individual
LAUREN WIDMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, NP-S
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN711221
REGISTERED NURSE
GA
Enumeration date
04/08/2026
Last updated
04/08/2026
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