Basic Information
Provider Information
NPI: 1275940983
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: FRIEDMAN
FirstName: LAUREN
MiddleName: CHRISTINE
NamePrefix:  
NameSuffix:  
Credential: NP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 930 MARTIN LUTHER KING JR BLVD
Address2: STE 202
City: CHAPEL HILL
State: NC
PostalCode: 275142656
CountryCode: US
TelephoneNumber: 9199333301
FaxNumber: 9199333375
Practice Location
Address1: 930 MARTIN LUTHER KING JR BLVD STE 202
Address2:  
City: CHAPEL HILL
State: NC
PostalCode: 275142656
CountryCode: US
TelephoneNumber: 9199333301
FaxNumber: 9199333375
Other Information
ProviderEnumerationDate: 07/14/2014
LastUpdateDate: 09/17/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 09/17/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
176B00000X787NCN Other Service ProvidersMidwife 
363LA2200X603966NYN Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
363LG0600X603966NYN Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
363LP2300X603966NYN Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
367A00000X  N Physician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife 
367A00000X787NCY Physician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife 

No ID Information.


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