Provider Demographics
NPI:1831083674
Name:HAMERNIK, LAURYN
Entity type:Individual
Prefix:
First Name:LAURYN
Middle Name:
Last Name:HAMERNIK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:405 S 3RD ST APT C
Mailing Address - Street 2:
Mailing Address - City:LA CRESCENT
Mailing Address - State:MN
Mailing Address - Zip Code:55947-1378
Mailing Address - Country:US
Mailing Address - Phone:507-313-1486
Mailing Address - Fax:
Practice Address - Street 1:405 S 3RD ST APT C
Practice Address - Street 2:
Practice Address - City:LA CRESCENT
Practice Address - State:MN
Practice Address - Zip Code:55947-1378
Practice Address - Country:US
Practice Address - Phone:507-313-1486
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-05
Last Update Date:2025-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant