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Individual
LAUREN ASHLEY BISHOP
Active
Individual
LAUREN ASHLEY BISHOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209011118
IL
363L00000X
Nurse Practitioner
Primary
4704324682
MI
363LP0200X
Pediatric Nurse Practitioner
4704324682
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209011118
STATE LICENSE NUMBER: 209011118
IL
Enumeration date
04/06/2014
Last updated
12/05/2018
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