Individual
LAUREN SHAW BROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
4280 WATERMELON RD STE 110, NORTHPORT, AL 35473-5250
(205) 710-3838
(205) 710-3839
Mailing address
4280 WATERMELON RD STE 110, NORTHPORT, AL 35473-5250
(205) 710-3838
(205) 710-3839
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-131700
AL
Other
Enumeration date
04/27/2015
Last updated
01/31/2022
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