Individual
LAUREN GRACE HANNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
306 POMONA DR STE F, GREENSBORO, NC 27407-1643
(336) 541-6475
Mailing address
446 BURKEWOOD DR, WINSTON SALEM, NC 27104-3943
(743) 999-3642
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5012471
NC
Other
Enumeration date
10/31/2019
Last updated
02/06/2026
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