Healthcare Provider Details

I. General information

NPI: 1386415388
Provider Name (Legal Business Name): LAUREN KUZEL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/10/2024
Last Update Date: 12/16/2024
Certification Date: 12/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1247 S CEDAR CREST BLVD STE 107
ALLENTOWN PA
18103-6347
US

IV. Provider business mailing address

315 MARON RD
HATFIELD PA
19440-1138
US

V. Phone/Fax

Practice location:
  • Phone: 484-202-0751
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberSP029077
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: