LAUREN JORDAN — Medicare Enrolled Provider (PRACTITIONER - OPTOMETRY, WI)
LAUREN JORDAN — Medicare Enrolled Provider (PRACTITIONER - OPTOMETRY, WI) is one of 9,000 enrolled providers in the MedicareEnroll dataset. Key details — Name: LAUREN JORDAN; Type: Individual; NPI: 1003254590.
| Name | LAUREN JORDAN |
|---|---|
| Type | Individual |
| NPI | 1003254590 |
| Provider type | PRACTITIONER - OPTOMETRY |
| State | WI |
| Enrollment ID | I20180919002057 |
| Multiple NPI flag | N |
| Source | CMS Medicare FFS Public Provider Enrollment (PECOS) |
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