White, Lauren Jean

White, Lauren Jean is an individual health care provider with primary practice located at 615 N Michigan St 5Th Fl , South Bend IN 46601-1033. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. White, Lauren Jean can be contacted via phone (574) 647-7426.

Contact Information

Primary practice address
615 N Michigan St 5Th Fl South Bend IN 46601-1033
Phone: (574) 647-7426
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 71005326A Indiana

Profile Details

NPI number 1306117882
LBN Legal business name White, Lauren Jean
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2012
Last updated Apr 28th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306117882 NPPES
Indiana MEDICAID 201275070

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