National Provider Identifier

Lauren Doreen McCullough, FNP

Lauren Doreen McCullough, FNP is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner in Grand Island, NY and a listed phone number of (416) 301-5702.

NPI 1558139683Grand Island, NYFamily Nurse Practitioner

Profile Overview

NPI
1558139683
Provider Type
Individual
Primary Specialty
Family Nurse Practitioner
Enumeration Date
December 18, 2023
Last Updated
December 18, 2023

Practice Location

  • 178 Slate Ln
  • Grand Island, NY 14072-1887

Phone: (416) 301-5702

Specialties

  • Family Nurse Practitioner (363LF0000X)
Full Record
NPI
1558139683
Entity Type
Individual
Last Name
McCullough
First Name
Lauren
Middle Name
Doreen
Credential
FNP
Mailing Street Address
178 Slate Ln
Mailing City
Grand Island
Mailing State
NY
Mailing ZIP Code
14072-1887
Mailing Country
US
Mailing Phone
(416) 301-5702
Practice Street Address
178 Slate Ln
Practice City
Grand Island
Practice State
NY
Practice ZIP Code
14072-1887
Practice Country
US
Practice Phone
(416) 301-5702
Enumeration Date
December 18, 2023
Last Updated
December 18, 2023
Sex
Female
Sole Proprietor
No
Certification Date
December 18, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Family Nurse Practitioner (363LF0000X)