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Individual

LAUREN WOMACK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
15260 NW 147TH DR STE 200, ALACHUA, FL 32615-5339
(386) 518-0102
(386) 518-0116
Mailing address
15260 NW 147TH DR STE 200, ALACHUA, FL 32615-5339
(386) 518-0102
(386) 518-0116

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
ARNP9361727
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
ARNP9361727
NURSE PRACTITIONER LICENSE
FL
Enumeration date
10/10/2017
Last updated
03/17/2018
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