Basic Information
| Provider Information | |||||||||
| NPI: | 1902312770 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BACHMAN | ||||||||
| FirstName: | LAUREN | ||||||||
| MiddleName: | JANE | ||||||||
| NamePrefix: | MRS. | ||||||||
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| Credential: | CRNP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 238 SHARTLESVILLE RD | ||||||||
| Address2: | |||||||||
| City: | MOHRSVILLE | ||||||||
| State: | PA | ||||||||
| PostalCode: | 195419741 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6108234119 | ||||||||
| FaxNumber: | 6107764681 | ||||||||
| Practice Location | |||||||||
| Address1: | 325 N 5TH ST FL 1 | ||||||||
| Address2: | |||||||||
| City: | ALLENTOWN | ||||||||
| State: | PA | ||||||||
| PostalCode: | 181023367 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6107764674 | ||||||||
| FaxNumber: | 6107764681 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/15/2017 | ||||||||
| LastUpdateDate: | 12/15/2017 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LF0000X | SP018157 | PA | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family | 163WX0200X | RN559185 | PA | N | Nursing Service Providers | Registered Nurse | Oncology |
No ID Information.