Individual
LAUREN ELIZABETH BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, RN, AGCNS-BC
Contact information
Practice address
2651 E DISCOVERY PKWY RM A1141B, BLOOMINGTON, IN 47408-9059
(812) 918-3752
Mailing address
3738 W JEFFREY RD, BLOOMINGTON, IN 47403-4116
(812) 360-2355
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28222833A
IN
Other
Enumeration date
07/27/2023
Last updated
07/27/2023
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