Individual
MRS. LAUREN A KELLY
Active
Individual
MRS. LAUREN A KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
0024172608
VA
363LA2200X
Adult Health Nurse Practitioner
Primary
112465
NE
363LA2200X
Adult Health Nurse Practitioner
153881
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1568793057
—
WI
Enumeration date
01/22/2010
Last updated
03/14/2023
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