Individual ProviderLauren Michelle WatzichNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address4420 Lake Boone Trl, Raleigh, NC 27607-7505(919) 784-3100(714) 337-2755PECOS EnrollmentBased on the most recent information from CMS, provider Lauren Michelle Watzich does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1922573328Provider TypeIndividualFull NameWatzich, Lauren MichelleTitleMrs.CredentialPNPGenderFemaleSole ProprietorNoEnumeration Date10/11/2018Last Updated1/31/2023Contact InformationPractice LocationPractice Address4420 Lake Boone Trl, Raleigh, NC 27607-7505Phone(919) 784-3100FaxUnlisted FaxMailing LocationMailing Address212 Rosehaven Dr, Raleigh, NC 27609-3880Phone(714) 337-2755FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LP0200XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense5011034North Carolina