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NPI Code Detail

MEDICARE: DR. LAUREN LANIGAN O.D.

MEDICARE: DR. LAUREN LANIGAN O.D.
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
1152W00000XOptometrist007046NY

General Provider Information

NPI Number : 1619063369
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LAUREN LANIGAN O.D.
Provider Business Mailing Address
First Line : 1761 ROCKAWAY PKWY
Second Line :
City : BROOKLYN
State : NY
Zip : 11236-4825
Country : US
Telephone Number : 718-278-3800
Fax Number :
Provider Business Practice Location Address
First Line : 1761 ROCKAWAY PKWY
Second Line :
City : BROOKLYN
State : NY
Zip : 11236-4825
Country : US
Telephone Number : 718-278-3800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/04/2006
Last Update Date : 03/04/2015

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Directions to “ DR. LAUREN LANIGAN O.D.” Practice Location

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