Healthcare Provider Details

I. General information

NPI: 1629509971
Provider Name (Legal Business Name): LAUREN JOSEFA HARTWELL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/27/2017
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2500 BERNVILLE RD
READING PA
19605-9453
US

IV. Provider business mailing address

2494 BERNVILLE RD STE 100
READING PA
19605-9466
US

V. Phone/Fax

Practice location:
  • Phone: 610-378-2899
  • Fax: 610-378-2980
Mailing address:
  • Phone: 610-378-3782
  • Fax: 610-378-2980

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberOS021311
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: