Basic Information
Provider Information
NPI: 1558892778
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BARBERAN
FirstName: LAUREN
MiddleName: FINKLEA
NamePrefix:  
NameSuffix:  
Credential: FNP-C
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 3183 GREYSTONE DR
Address2:  
City: FLORENCE
State: SC
PostalCode: 295017029
CountryCode: US
TelephoneNumber: 8436875352
FaxNumber:  
Practice Location
Address1: 201 CASHUA ST
Address2:  
City: DARLINGTON
State: SC
PostalCode: 295323301
CountryCode: US
TelephoneNumber: 8433937452
FaxNumber:  
Other Information
ProviderEnumerationDate: 03/21/2017
LastUpdateDate: 11/29/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LF0000X20865SCY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


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