Provider Demographics
NPI:1184504110
Name:RAUH, LAUREN BROOKE
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:BROOKE
Last Name:RAUH
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 1:85 NOBLE HEART PL
Mailing Address - Street 2:
Mailing Address - City:FUQUAY VARINA
Mailing Address - State:NC
Mailing Address - Zip Code:27526-3448
Mailing Address - Country:US
Mailing Address - Phone:845-443-6901
Mailing Address - Fax:
Practice Address - Street 1:7021 HARPS MILL RD STE 100
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27615-3240
Practice Address - Country:US
Practice Address - Phone:919-576-8480
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-02
Last Update Date:2025-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC358003163WP2201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP2201XNursing Service ProvidersRegistered NurseAmbulatory Care