Individual
MS. LAUREN HASBROUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
2244 EXECUTIVE DR, HAMPTON, VA 23666-2430
(757) 827-1001
Mailing address
856 J CLYDE MORRIS BLVD STE A, NEWPORT NEWS, VA 23601-1318
(757) 316-5800
(757) 534-5190
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024179375
VA
363LF0000X
Family Nurse Practitioner
AP129543
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
356173002
—
TX
01
—
474959YLPS
WELLMED PTAN
TX
Enumeration date
12/28/2015
Last updated
10/29/2020
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