Wyatt, Lauren Todt

Wyatt, Lauren Todt is an individual health care provider with primary practice located at 400 N State Of Franklin Rd Fl 1 , Johnson City TN 37604-6035. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Wyatt, Lauren Todt can be contacted via phone (423) 431-3950.

Contact Information

Primary practice address
400 N State Of Franklin Rd Fl 1 Johnson City TN 37604-6035
Phone: (423) 431-3950
Fax: (423) 431-3958
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 1-113979 Alabama
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X APN26937 Tennessee

Profile Details

NPI number 1194167882
LBN Legal business name Wyatt, Lauren Todt
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 23rd, 2013
Last updated Feb 26th, 2024 - about last year

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 1194167882 NPPES
Alabama MEDICAID 1-113979
Alabama MEDICAID Q055437

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