Lauren Kay Higinbotham LPN

NPI 1184811069 - Licensed Practical Nurse - 164W00000X

NPI Details
NPI 1184811069
Gender Female
Enumeration Date 09/25/2007
Last Updated 09/25/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
5544 E STATE BLVD
FORT WAYNE IN, 46815-7475, US
Phone (260) 749-9506
Fax
Business Location
5544 E STATE BLVD
FORT WAYNE IN, 46815-7475, US
Phone (260) 749-9506
Fax
Toxanomy
Taxonomy Code 164W00000X
License State Indiana
License Number 27059966A
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According to our database, Ms. Lauren Kay Higinbotham LPN NPI is 1184811069, taxonomy code is 164W00000X and license number is 27059966A, license state is located at Indiana. Lauren Kay Higinbotham LPN physically located at 5544 E State Blvd, Fort Wayne IN, 46815-7475. NPI Number Lauren Kay Higinbotham LPN has the Individual type.

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1184811069 NPI number is provided on an as is basis without warranty of any kind. 1184811069 is maintained by the National Plan & Provider Enumeration System. The contents of Lauren Kay Higinbotham LPN are for informational purposes only.