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Individual

LAUREN E BATES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.N.P.

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
28182117A
IN
363LP0200X
Pediatric Nurse Practitioner
71004555A
IN
363LP0200X
Pediatric Nurse Practitioner
Primary
95015527
CA

Other

Enumeration date
08/08/2013
Last updated
10/16/2020
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