# DR. LAUREN RENEE FAVREAU

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1326568338
- **Gender:** F
- **Credential:** DAC, LAC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | AC576 | ME | Yes |

## Other

- **Enumeration date:** 06/21/2017
- **Last updated:** 08/10/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 167026 | NCCAOM (NATIONAL CERTIFICATION COMMISSION FOR ACUPUNCTURE & ORIENTAL MEDICINE) | — |