Individual
MS. LAUREN NICOLE RANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
4921 PARKVIEW PL, DIV NEURO AGING AND DEMENTIA, STE 6C, SAINT LOUIS, MO 63110-1032
(314) 286-1967
(314) 286-1985
Mailing address
PO BOX 7412011, CHICAGO, IL 60674-2011
(314) 286-1967
(314) 286-1985
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2017044027
MO
363LF0000X
Family Nurse Practitioner
209017358
IL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
2022006449
MO
Other
Enumeration date
04/20/2018
Last updated
02/20/2026
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