Koniaris, Lauren S

Koniaris, Lauren S is an individual health care provider with primary practice located at 75 Summit Ave , Hackensack NJ 07601. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as her primary health care specialty. Koniaris, Lauren S can be contacted via phone (201) 487-4595.

Contact Information

Primary practice address
75 Summit Ave Hackensack NJ 07601
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 25MA06733400 New Jersey

Profile Details

NPI number 1568424570
LBN Legal business name Koniaris, Lauren S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 5th, 2006
Last updated Feb 24th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568424570 NPPES
New Jersey MEDICAID 8575801
New Jersey Other 10660239

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