Individual
LAUREN T SUITS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
ADVANCED LASER & SKIN REJUVENATION, HIGH POINT, NC 27265
(336) 841-4025
Mailing address
229 FLAT SWAMP LAKE RD, DENTON, NC 27239-6939
(336) 803-0695
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
301746
NC
363LF0000X
Family Nurse Practitioner
Primary
5016943
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
301746
NCBON
—
01
—
5016943
NCBON NP LICENSE
—
Enumeration date
05/10/2022
Last updated
02/23/2023
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