Individual
MRS. LAUREN POLLARD WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1700 SPRING HILL AVE, MOBILE, AL 36604-1407
(251) 435-1200
Mailing address
320 DALEWOOD DR, MOBILE, AL 36608-1507
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1-143583
AL
363L00000X
Nurse Practitioner
Primary
1-143583
AL
Other
Enumeration date
02/18/2019
Last updated
11/10/2020
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