MEDICARE: DR. LAUREN MUSSER MD

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
1	207R00000X	Internal Medicine Physician	MD475439	PA

General Provider Information

NPI Number	:	1710470562
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LAUREN MUSSER MD

Provider Business Mailing Address
First Line	:	191 PRESIDENTIAL BLVD STE C133
Second Line	:
City	:	BALA CYNWYD
State	:	PA
Zip	:	19004-1216
Country	:	US
Telephone Number	:
Fax Number	:	610-904-7077

Provider Business Practice Location Address
First Line	:	191 PRESIDENTIAL BLVD STE C133
Second Line	:
City	:	BALA CYNWYD
State	:	PA
Zip	:	19004-1216
Country	:	US
Telephone Number	:	610-667-9980
Fax Number	:	610-904-7077

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/07/2018
Last Update Date	:	09/18/2025

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