Provider Demographics
NPI:1891461190
Name:CASEY, LAUREN M (APRN)
Entity type:Individual
Prefix:MRS
First Name:LAUREN
Middle Name:M
Last Name:CASEY
Suffix:
Gender:
Credentials:APRN
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:255 OVERLOOK LN
Mailing Address - Street 2:
Mailing Address - City:SMITHS GROVE
Mailing Address - State:KY
Mailing Address - Zip Code:42171-8322
Mailing Address - Country:US
Mailing Address - Phone:270-780-4755
Mailing Address - Fax:833-973-3689
Practice Address - Street 1:255 OVERLOOK LN
Practice Address - Street 2:
Practice Address - City:SMITHS GROVE
Practice Address - State:KY
Practice Address - Zip Code:42171-8322
Practice Address - Country:US
Practice Address - Phone:270-780-4755
Practice Address - Fax:833-973-3689
Is Sole Proprietor?:No
Enumeration Date:2021-08-18
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KY3016221363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner