Healthcare Provider Details

I. General information

NPI: 1245109727
Provider Name (Legal Business Name): LAUREN TAMBURINO CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/03/2025
Last Update Date: 11/03/2025
Certification Date: 11/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

38 N 4TH ST
ALLENTOWN PA
18102-3448
US

IV. Provider business mailing address

9314 LANDIS LN
E GREENVILLE PA
18041-2536
US

V. Phone/Fax

Practice location:
  • Phone: 610-782-3270
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberSP034378
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: