Individual provider · NPI-1

Lauren Gabrielle Azoury, FNP

Nurse Practitioner · Farmington, MO

NPI number1407520166
StatusActive
Last updated in NPPESSep 27, 2021

Details

NPI
1407520166
Entity type
Individual (NPI-1)
Name
Lauren Gabrielle Azoury
Credential
FNP
Sex
Female
Sole proprietor
No
Enumeration date
Aug 5, 2021
Certification date
Sep 27, 2021
Last updated
Sep 27, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363L00000X Nurse Practitioner2021018076MOYes
363LF0000X Nurse Practitioner, Family2021018076MO

Practice location

1103 W Liberty St Ste 4050c
Farmington, MO 63640-1921

Phone 573-760-8253

Mailing address

1103 W Liberty St Ste 4050c
Farmington, MO 63640-1921

Phone 573-760-8253

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