MEDICARE: LAUREN WEISS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	PT018012	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1015816490001	OTHER	PA	MA

General Provider Information

NPI Number	:	1053537175
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAUREN WEISS

Provider Business Mailing Address
First Line	:	1632 KATER ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19146-1538
Country	:	US
Telephone Number	:	610-613-6773
Fax Number	:

Provider Business Practice Location Address
First Line	:	1632 KATER ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19146-1538
Country	:	US
Telephone Number	:	610-613-6773
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/17/2007
Last Update Date	:	05/14/2014

Similar Medicare Providers

1861101990 — KATE OLIVER
Practice Location Address:

1538 S COLORADO ST
PHILADELPHIA, PA
19146-4735

Practice Phone: 267-974-3927
Practice Fax:

1528273208 — MRS. DENISE MARIE BRADLEY LPN
Practice Location Address:

1538 S HOLLYWOOD ST
PHILA, PA
19146-3516

Practice Phone: 215-962-7526
Practice Fax:

1124965363 — YASMING STALLWORTH CRNP
Practice Location Address:

1828 PENFIELD ST
PHILADELPHIA, PA
19126-1538

Practice Phone: 215-607-9137
Practice Fax:

1275753808 — PHIL. COUNTY-DEPT. OF HEALTH TSM
Practice Location Address:

701 MARKET ST , 5TH FLOOR, SUITE 5200
PHILADELPHIA, PA
19106-1538

Practice Phone: 215-685-5906
Practice Fax: 215-685-5959

1225471204 — PHARMACY OF AMERICA V INC.
Practice Location Address:

232 W GIRARD AVE
PHILADELPHIA, PA
19123-1538

Practice Phone: 267-237-1188
Practice Fax: 215-744-0300

1356779052 — PRESTIGE DENTAL LLC
Practice Location Address:

246 W GIRARD AVE
PHILADELPHIA, PA
19123-1538

Practice Phone: 267-202-0083
Practice Fax:

Directions to “ LAUREN WEISS ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.