Russo, Lauren Nicole

Russo, Lauren Nicole is an individual health care provider with primary practice located at 49 Sejon Dr , Sayville NY 11782-3226. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Russo, Lauren Nicole can be contacted via phone (631) 317-3614.

Contact Information

Primary practice address
49 Sejon Dr Sayville NY 11782-3226
Phone: (631) 317-3614
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 353391 New York

Profile Details

NPI number 1780435891
LBN Legal business name Russo, Lauren Nicole
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2024
Last updated Mar 27th, 2024 - about 9 months 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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