Individual
LAUREN M MACGREGOR - BANAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-3941
Mailing address
24701 EUCLID AVE, 3RD FLOOR, EUCLID, OH 44117-1714
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
COA.14922-NM
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0090139
—
OH
01
—
COA.14922-NM
LICENSE
OH
Enumeration date
08/28/2013
Last updated
12/10/2020
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