Individual
LAUREN ELIZABETH FENNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
2341 LEWISVILLE CLEMMONS RD, CLEMMONS, NC 27012-8905
(336) 716-4039
Mailing address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2255
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
—
—
367A00000X
Advanced Practice Midwife
764
NC
367A00000X
Advanced Practice Midwife
Primary
91
NC
Other
Enumeration date
08/25/2020
Last updated
01/23/2025
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