Doctor Name: | LAUREN BRIEN BOND |
NPI Number: | 1073572970 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CRNP |
License Number: | R176421 |
Business Practice Address: | 125 Shoreway Dr Suite 120 Queenstown, MD - 216581666 |
Business Phone Number: | 4108274001 |
Business Fax Number: | 4108274333 |
Mailing Address: | 1111 Benfield Blvd, Suite 200 MILLERSVILLE |
State: | MD |
Postal Code: | 211083002 |
Phone Number: | 4107295100 |
Fax Number: | 4107295156 |
NPI Enumeration Date: | 03/20/2006 |
NPI Last Update Date: | 05/22/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | R176421 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |