Individual
LAUREN BROOKE KOSTOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
2100 STANTONSBURG RD, GREENVILLE, NC 27834-2818
(919) 847-4204
Mailing address
2100 STANTONSBURG RD, GREENVILLE, NC 27834-2818
(919) 847-4204
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
5013616
NC
Other
Enumeration date
05/11/2020
Last updated
05/18/2023
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