Individual
LAUREN RIDGEWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3980 COLONNADE PKWY, BIRMINGHAM, AL 35243-2382
(205) 510-5000
(205) 599-6333
Mailing address
3980 COLONNADE PKWY, BIRMINGHAM, AL 35243-2382
(205) 795-5285
(205) 599-9091
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1-58498
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-58498
NP LICENSE
AL
Enumeration date
07/21/2017
Last updated
07/21/2017
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