Individual
LAUREN BAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
496 SOUTHLAND DR, LEXINGTON, KY 40503-1827
(859) 288-2425
(859) 288-7510
Mailing address
496 SOUTHLAND DR, LEXINGTON, KY 40503-1827
(859) 288-2392
(859) 721-3918
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
3009590
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3009590
APRN STATE LICENSE NUMBER
KY
05
—
7100439150
—
KY
Enumeration date
09/27/2015
Last updated
08/09/2021
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