Individual
MRS. LAUREN DAVENPORT EASTERWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
22779
TN
363L00000X
Nurse Practitioner
3011854
KY
363L00000X
Nurse Practitioner
Primary
95020014
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100515580
—
KY
Enumeration date
06/15/2017
Last updated
03/25/2024
Update your record
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