Individual
MRS. LAUREN DAVENPORT EASTERWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4200 REGENT ST STE 200, COLUMBUS, OH 43219-6229
(877) 581-2210
Mailing address
4200 REGENT ST STE 200, COLUMBUS, OH 43219-6229
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
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