Individual
LAUREN NICOLE DEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
2024-01084
NC
2084P0800X
Psychiatry Physician
285912
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/27/2018
Last updated
08/20/2024
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