Individual
LAUREN KEITH INGRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
100 COLLEGE AVE SE, GAINESVILLE, GA 30501-4510
(770) 534-0534
(770) 532-4049
Mailing address
100 COLLEGE AVE SE, GAINESVILLE, GA 30501-4510
(770) 534-0534
(770) 532-4049
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN209074
GA
Other
Enumeration date
09/02/2015
Last updated
09/03/2025
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