MEDICARE: LAUREN CHRISTENE STRAZZULLA MD

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
1	207N00000X	Dermatology Physician	316576	NY

General Provider Information

NPI Number	:	1861989238
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAUREN CHRISTENE STRAZZULLA MD

Provider Business Mailing Address
First Line	:	PO BOX 130
Second Line	:
City	:	COHASSET
State	:	MA
Zip	:	02025-0130
Country	:	US
Telephone Number	:	212-385-3700
Fax Number	:

Provider Business Practice Location Address
First Line	:	538 5TH AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11215-1887
Country	:	US
Telephone Number	:	212-385-3700
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/20/2018
Last Update Date	:	03/03/2026

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