Individual
LAUREN ELIZABETH DAUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1030 SIENA DR, WAKE FOREST, NC 27587-2781
(919) 350-7331
Mailing address
PO BOX 603949, CHARLOTTE, NC 28260-3949
(919) 350-2266
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
0101271438
VA
208600000X
Surgery Physician
Primary
2025-02089
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1033509864
—
NC
Enumeration date
02/02/2015
Last updated
08/06/2025
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