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NPI Code Detail

MEDICARE: LAUREN LEVATINO

MEDICARE:   LAUREN  LEVATINO
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
1363LF0000XFamily Nurse Practitioner26NJ01413500NJ

General Provider Information

NPI Number : 1366131914
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAUREN LEVATINO
Provider Business Mailing Address
First Line : 255 WARREN ST APT 611
Second Line :
City : JERSEY CITY
State : NJ
Zip : 07302-3705
Country : US
Telephone Number : 732-757-9111
Fax Number :
Provider Business Practice Location Address
First Line : 59 WASHINGTON ST
Second Line :
City : HOBOKEN
State : NJ
Zip : 07030-7383
Country : US
Telephone Number : 866-389-2727
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/01/2023
Last Update Date : 05/01/2023

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Directions to “ LAUREN LEVATINO ” Practice Location

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