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NPI Code Detail

MEDICARE: LAUREN KACZMAREK

MEDICARE:   LAUREN  KACZMAREK
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
1104100000XSocial Worker105793NY

General Provider Information

NPI Number : 1124774880
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAUREN KACZMAREK
Provider Business Mailing Address
First Line : 1332 UNION ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11213-4239
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1332 UNION ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11213-4239
Country : US
Telephone Number : 646-397-6696
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/22/2022
Last Update Date : 02/22/2022

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Directions to “ LAUREN KACZMAREK ” Practice Location

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