Provider Demographics
NPI:1861872624
Name:CORONA, LAUREN MALEY (RN)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:MALEY
Last Name:CORONA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:LAUREN
Other - Middle Name:MALEY
Other - Last Name:CAHOON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:950 N CUTLER DR
Mailing Address - Street 2:APT 533
Mailing Address - City:NORTH SALT LAKE
Mailing Address - State:UT
Mailing Address - Zip Code:84054-5042
Mailing Address - Country:US
Mailing Address - Phone:240-701-4773
Mailing Address - Fax:
Practice Address - Street 1:950 N CUTLER DR
Practice Address - Street 2:APT 533
Practice Address - City:NORTH SALT LAKE
Practice Address - State:UT
Practice Address - Zip Code:84054-5042
Practice Address - Country:US
Practice Address - Phone:240-701-4773
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-05
Last Update Date:2015-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT8412726-3102163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse