=====================================================
General NPI Number Information
=====================================================
NPI Number | 1245109727
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | LAUREN TAMBURINO CRNP
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/03/2025
-----------------------------------------------------
Last Update Date | 11/03/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 38 N 4TH ST
-----------------------------------------------------
City | ALLENTOWN
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 18102-3448
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 610-782-3270
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 9314 LANDIS LN
-----------------------------------------------------
City | E GREENVILLE
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 18041-2536
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone |
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207Q00000X
-----------------------------------------------------
Taxonomy Name | Family Medicine Physician
-----------------------------------------------------
License Number | SP034378
-----------------------------------------------------
License Number State | PA
-----------------------------------------------------