Healthcare Provider Details

I. General information

NPI: 1013144815
Provider Name (Legal Business Name): LAUREN MICHELE MUCHORSKI D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/18/2009
Last Update Date: 07/08/2025
Certification Date: 07/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1201 LANGHORNE NEWTOWN RD
LANGHORNE PA
19047-1201
US

IV. Provider business mailing address

2324 ACADEMY DR
BENSALEM PA
19020-3688
US

V. Phone/Fax

Practice location:
  • Phone: 215-710-2100
  • Fax:
Mailing address:
  • Phone: 215-639-3944
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number390200000X
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number25MB09237100
License Number StateNJ
# 3
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberOS020092
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: