Faggard, Lauren Brooks

Faggard, Lauren Brooks is an individual health care provider with primary practice located at 1201 W Hernandez St , Pensacola FL 32501-1815. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Faggard, Lauren Brooks can be contacted via phone (850) 436-4630.

Contact Information

Primary practice address
1201 W Hernandez St Pensacola FL 32501-1815
Phone: (850) 436-4630
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 1-094049 Alabama
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X ARNP9319281 Florida

Profile Details

NPI number 1598952947
LBN Legal business name Faggard, Lauren Brooks
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 1st, 2007
Last updated Jul 10th, 2014 - about 11 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 1598952947 NPPES
Florida MEDICAID 003292100

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