Individual
MRS. LAUREN MARIE EMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1400 W STATE ST STE C, WEST LAFAYETTE, IN 47906-3438
(765) 494-0111
Mailing address
1400 W STATE ST, WEST LAFAYETTE, IN 47906-3438
(765) 496-0111
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
041412336
IL
163WG0000X
General Practice Registered Nurse
28222970A
IN
363LP0200X
Pediatric Nurse Practitioner
209.022266
IL
363LP0200X
Pediatric Nurse Practitioner
Primary
71013140A
IN
Other
Enumeration date
08/22/2019
Last updated
02/17/2023
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