Lauren Tom
NPI #1033600531 in Fort Wayne, Indiana
Provider Information
- NPI Number
- 1033600531
- Entity Type
- Individual
- Name
- Lauren Tom
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- May 21, 2018
- Last Updated
- Oct 11, 2022
Practice Location
- Address
- 11050 PARKVIEW CIRCLE DR
- City
- Fort Wayne
- State
- Indiana
- ZIP Code
- 46845
- Phone
- (833) 724-8326
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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