# LAUREN HUM

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1619326766
- **Gender:** F
- **Credential:** DMD, MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | D10453 | OR | — |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | 38671 | TX | Yes |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | D10453 | OR | — |
| 208600000X | Surgery Physician | PG188426 | OR | — |

## Other

- **Enumeration date:** 06/09/2016
- **Last updated:** 07/07/2022
