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Individual
LAUREN B HUDSPETH
Active
Individual
LAUREN B HUDSPETH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PPCNP-BC
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
25484
SC
363LP0200X
Pediatric Nurse Practitioner
Primary
25484
SC
Other
Enumeration date
11/17/2021
Last updated
04/18/2022
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