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Provider Information for 1518301571

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

LAUREN IRIZARRY

Gender: FEMALE

Individual NPI: 1518301571

Calendar   Last Updated:  2020-06-16
  Certification Date:  2020-06-16

Details

Name Value
NPI 1518301571
Enumeration Date 2013-04-22
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 10208 CERNY ST STE 210
RALEIGH, NC 27617-7885
United States

Phone: 919-484-8345 | Fax:
View Map External Link
Primary Practice Address 10208 CERNY ST STE 210
RALEIGH, NC 27617-7885
United States

Phone: 919-484-8345 | Fax:
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 207Q00000X - Family Medicine NC 2018-01295
No 390200000X - Student in an Organized Health Care Education/Training Program