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Individual

MRS. LAUREN TAYLOR BODENHAMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
101 E 15TH AVE, GULF SHORES, AL 36542-3501
(251) 962-1250
(251) 967-7832
Mailing address
3681 CYPRESS CIR, GULF SHORES, AL 36542-9038
(251) 223-6069

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-114933
AL

Other

Enumeration date
04/13/2011
Last updated
11/13/2020
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