Basic Information
Provider Information
NPI: 1609346196
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ROWLAND
FirstName: LAUREN
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: CRNA
OtherOrganizationName:  
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OtherLastName:  
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OtherMiddleName:  
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OtherCredential:  
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Mailing Information
Address1: 6913 PROVIDENCE ESTATES DR N
Address2:  
City: MOBILE
State: AL
PostalCode: 366954603
CountryCode: US
TelephoneNumber: 4432356358
FaxNumber:  
Practice Location
Address1: 5 MOBILE INFIRMARY CIR
Address2:  
City: MOBILE
State: AL
PostalCode: 366073513
CountryCode: US
TelephoneNumber: 2059771949
FaxNumber:  
Other Information
ProviderEnumerationDate: 11/28/2018
LastUpdateDate: 03/15/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
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AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 03/15/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
367500000X0024177193VAY Physician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered 
163WC0200X9401051FLN Nursing Service ProvidersRegistered NurseCritical Care Medicine

No ID Information.


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