Individual
LAUREN BROOKE MARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
525 E 68TH ST, NEW YORK, NY 10065-4870
(804) 347-8635
Mailing address
7330 PICKETT AVE, MECHANICSVILLE, VA 23111-1712
(804) 347-8635
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024182347
VA
Other
Enumeration date
08/09/2021
Last updated
08/09/2021
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