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Individual

DR. LAUREN GEVANA OUTLAW

Active
Find providers by NPI
Individual

DR. LAUREN GEVANA OUTLAW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
D90375
MD
207VB0002X
Obesity Medicine (Obstetrics & Gynecology) Physician
Primary
0101257441
VA
207VB0002X
Obesity Medicine (Obstetrics & Gynecology) Physician
MD048786
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000675480
ANTHEM IN - FWO
IN
01
000000675487
ANTHEM IN - BMA
IN
01
000000873394
BCBS
IN
01
01064686A
PHYSICIAN LICENSE
IN
05
200898630
IN
05
200898630 FWO
IN
Enumeration date
09/23/2007
Last updated
12/18/2024
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