Lopera, Lauren A

Lopera, Lauren A is an individual health care provider with primary practice located at 122 Portion Rd , Ronkonkoma NY 11779-4174. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Lopera, Lauren A can be contacted via phone (631) 588-6665.

Contact Information

Primary practice address
122 Portion Rd Ronkonkoma NY 11779-4174
Phone: (631) 588-6665
Fax: (631) 580-5543
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 010551-1 New York

Profile Details

NPI number 1184874687
LBN Legal business name Lopera, Lauren A
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2008
Last updated Aug 11th, 2022 - about 2 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 1184874687 NPPES
New York Other 010551-01 NYS REGISTRATION CERTIFICATE

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