=====================================================
General NPI Number Information
=====================================================
NPI Number | 1871026948
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | LAKHBIR KAUR
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/06/2017
-----------------------------------------------------
Last Update Date | 08/03/2021
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2201 HEMPSTEAD TPKE NASSAU UNIVERSITY MEDICAL CENTER- INTERNAL MEDICINE
-----------------------------------------------------
City | EAST MEADOW
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 11554-1859
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 516-572-4835
-----------------------------------------------------
Fax | 516-572-5609
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2201 HEMPSTEAD TPKE NASSAU UNIVERSITY MEDICAL CENTER- INTERNAL MEDICINE
-----------------------------------------------------
City | EAST MEADOW
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 11554-1859
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 516-572-4835
-----------------------------------------------------
Fax | 516-572-5609
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207R00000X
-----------------------------------------------------
Taxonomy Name | Internal Medicine Physician
-----------------------------------------------------
License Number | 306226
-----------------------------------------------------
License Number State | NY
-----------------------------------------------------