Bloom, Lauren Dufour
Bloom, Lauren Dufour is an individual health care provider with primary practice located at 1400 Tullie Rd Ne , Atlanta GA 30329-2309. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Gastroenterology, which is considered as her primary health care specialty. Bloom, Lauren Dufour can be contacted via phone (404) 778-1440.Contact Information
Primary practice address
1400 Tullie Rd Ne
Atlanta GA 30329-2309
Phone: (404) 778-1440
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Gastroenterology | 2080P0206X | 85330 | Georgia |
Profile Details
| NPI number | 1144761420 |
|---|---|
| LBN Legal business name | Bloom, Lauren Dufour |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 20th, 2017 |
| Last updated | Dec 7th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1144761420 | NPPES |
| Georgia | MEDICAID | 003235149A |
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