Individual
LAUREN MCKENZIE GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1007 WALKER AVENUE, GREENSBORO, NC 27412-3902
(336) 334-5000
Mailing address
2809 BOLO TRL, RALEIGH, NC 27615-3902
(919) 285-6326
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
278413
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
134382
NC
367500000X
Certified Registered Nurse Anesthetist
6723
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/13/2020
Last updated
09/11/2023
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