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LAUREN ROSEMARY VANDERMARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
95 COLLIER RD NW STE 5015, ATLANTA, GA 30309-1721
(404) 605-5699
Mailing address
PO BOX 116116, ATLANTA, GA 30368-3734
(605) 990-8975
(605) 592-0143

Taxonomy

Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
RN260411
GA
363L00000X
Nurse Practitioner
RN260411
GA
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
RN260411
GA

Other

Enumeration date
07/24/2019
Last updated
08/09/2023
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