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NPI Code Detail

MEDICARE: LAUREN NICOLE LEE CRNA

MEDICARE: LAUREN NICOLE LEE CRNA
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
1367500000XCertified Registered Nurse Anesthetist620606-1NY

General Provider Information

NPI Number : 1669893442
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAUREN NICOLE LEE CRNA
Provider Business Mailing Address
First Line : PO BOX 630
Second Line :
City : FRANKLIN LAKES
State : NJ
Zip : 07417-0630
Country : US
Telephone Number : 201-847-9320
Fax Number : 201-847-0059
Provider Business Practice Location Address
First Line : 4 VALLEY HEALTH PLZ
Second Line :
City : PARAMUS
State : NJ
Zip : 07652-3619
Country : US
Telephone Number : 201-847-9320
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/23/2013
Last Update Date : 08/13/2025

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