Basic Information
Provider Information
NPI: 1730740358
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BAUGHMAN
FirstName: LAUREN
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: FNP
OtherOrganizationName:  
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Mailing Information
Address1: 37 PEMBROKE ST
Address2:  
City: ROCHESTER
State: NY
PostalCode: 146201523
CountryCode: US
TelephoneNumber: 5852784424
FaxNumber:  
Practice Location
Address1: 40 DUKE MEDICINE CIR # 3K
Address2:  
City: DURHAM
State: NC
PostalCode: 277100002
CountryCode: US
TelephoneNumber: 9193853376
FaxNumber: 9196846505
Other Information
ProviderEnumerationDate: 06/25/2019
LastUpdateDate: 03/13/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
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IsSoleProprietor: N
IsOrganizationSubpart:  
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AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 03/13/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LF0000X344627NYN Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
363LF0000X299853NCY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


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