Individual
LAUREN GLENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2423 N NATIONAL RD, COLUMBUS, IN 47201-3733
(812) 372-7804
Mailing address
2423 N NATIONAL RD, COLUMBUS, IN 47201-3733
(866) 389-2727
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
28204569A
IN
363LF0000X
Family Nurse Practitioner
Primary
71010430A
IN
Other
Enumeration date
08/28/2020
Last updated
03/08/2024
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