Individual
LAUREN W DEMAREST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
610 19TH ST, COLUMBUS, GA 31901-1528
(706) 322-7884
(706) 243-4356
Mailing address
PO BOX 9247, COLUMBUS, GA 31908-9247
(706) 322-7884
(706) 243-4356
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN225396
GA
363LA2200X
Adult Health Nurse Practitioner
Primary
RN225396
GA
363LG0600X
Gerontology Nurse Practitioner
RN225396
GA
Other
Enumeration date
04/09/2013
Last updated
07/30/2015
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