Healthcare Provider Details

I. General information

NPI: 1912160573
Provider Name (Legal Business Name): LAUREN MARIE KUWIK MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DR. LAUREN MARIE DUNFORD

II. Dates (important events)

Enumeration Date: 07/03/2008
Last Update Date: 11/28/2022
Certification Date: 11/28/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3075 SOUTHWESTERN BLVD STE 100
ORCHARD PARK NY
14127-1236
US

IV. Provider business mailing address

3075 SOUTHWESTERN BLVD STE 100
ORCHARD PARK NY
14127-1236
US

V. Phone/Fax

Practice location:
  • Phone: 716-712-0490
  • Fax:
Mailing address:
  • Phone: 716-712-0490
  • Fax: 716-712-0615

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number266661
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number26666
License Number StateNY
# 3
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: