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NPI Code Detail

MEDICARE: MS. LAUREN A. URBAN LCSW

MEDICARE: MS. LAUREN A. URBAN LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker086979NY

General Provider Information

NPI Number : 1073751525
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LAUREN A. URBAN LCSW
Provider Business Mailing Address
First Line : 1025 SENECA AVE
Second Line :
City : RIDGEWOOD
State : NY
Zip : 11385-5800
Country : US
Telephone Number : 646-504-2687
Fax Number :
Provider Business Practice Location Address
First Line : 1025 SENECA AVE
Second Line :
City : RIDGEWOOD
State : NY
Zip : 11385-5800
Country : US
Telephone Number : 646-504-2687
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/21/2009
Last Update Date : 07/14/2023

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