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Individual

LAUREN AHERN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
877 JEFFERSON AVE, MEMPHIS, TN 38103-2807
(901) 545-7100
(901) 448-5540
Mailing address
877 JEFFERSON AVE, ATTN: PROVIDER ENROLLMENT, MEMPHIS, TN 38103-2807

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
189535
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
22873
TN

Other

Enumeration date
05/01/2017
Last updated
08/08/2017
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