Individual provider · Type 1 NPI

Lauren Lariscy, CPNP

Pediatric Nurse Practitioner · Watkinsville, GA

NPI number 1164070058 Active

Practice location

1500 Langford Dr
Watkinsville, GA 30677-7298

Call (706) 548-1216 Map

Mailing address

1500 Langford Dr Bldg 100
Watkinsville, GA 30677-7298

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200XAPRN-NP239065 (GA)
Pediatrics Physician 208000000XRN239065 (GA)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1164070058

Lauren Lariscy, CPNP's National Provider Identifier is 1164070058, issued on Sep 3, 2019. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Watkinsville, GA. The record was last updated on Nov 17, 2025.