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NPI Code Detail

MEDICARE: MS. LAUREN NICOLE PEREZ LCSW

MEDICARE:  MS. LAUREN NICOLE PEREZ  LCSW
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
11041C0700XClinical Social Worker087378NY

General Provider Information

NPI Number : 1780921957
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LAUREN NICOLE PEREZ LCSW
Provider Business Mailing Address
First Line : 140 DEBS PL APT 25D
Second Line :
City : BRONX
State : NY
Zip : 10475-2548
Country : US
Telephone Number : 917-577-6910
Fax Number :
Provider Business Practice Location Address
First Line : 459 E 149TH ST FL 2
Second Line :
City : BRONX
State : NY
Zip : 10455-1314
Country : US
Telephone Number : 718-681-8700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/08/2013
Last Update Date : 06/23/2020

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Directions to “ MS. LAUREN NICOLE PEREZ LCSW” Practice Location

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