Cleveland, Lauren Mary-Marie

Cleveland, Lauren Mary-Marie is an individual health care provider with primary practice located at 130 N Gross Rd Ste 201 , Kingsland GA 31548-6277. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Cleveland, Lauren Mary-Marie can be contacted via phone (912) 729-2795.

Contact Information

Primary practice address
130 N Gross Rd Ste 201 Kingsland GA 31548-6277
Phone: (912) 729-2795
Fax: (912) 729-4117
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN174980 Georgia

Profile Details

NPI number 1780904052
LBN Legal business name Cleveland, Lauren Mary-Marie
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2010
Last updated Jan 15th, 2020 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780904052 NPPES
Georgia Other RN174980 GEORGIA BOARD OF NURSING

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