Basic Information
Provider Information
NPI: 1548670227
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ABRAMOWITZ
FirstName: LAUREN
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: FNP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 150 55TH ST
Address2:  
City: BROOKLYN
State: NY
PostalCode: 112202508
CountryCode: US
TelephoneNumber: 7186307210
FaxNumber: 7184925090
Practice Location
Address1: 156 MAIN ST
Address2:  
City: MONTPELIER
State: VT
PostalCode: 056022702
CountryCode: US
TelephoneNumber: 8022234738
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/02/2014
LastUpdateDate: 03/08/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
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AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 03/08/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LF0000XF338478NYN Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
363LF0000X101-0134874VTY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


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