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Individual

MS. LAUREN W AULT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
3104 BLUE LAKE DR STE 110, VESTAVIA, AL 35243-2372
(205) 977-1949
Mailing address
4770 7TH CT S, BIRMINGHAM, AL 35222-3449
(662) 352-1483

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
1-154332
AL
363LF0000X
Family Nurse Practitioner
Primary
1-154332
AL

Other

Enumeration date
03/10/2021
Last updated
03/06/2025
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