person
Lauren A Lopera, PA
Medical Physician Assistant in Ronkonkoma, New York
NPI 1184874687

Lauren A Lopera is a Medical Physician Assistant based in Ronkonkoma, NY and is specialized in Medical. Lauren A Lopera practices in Ronkonkoma, NY and has the professional credentials of PA. The NPI Number for Lauren A Lopera is 1184874687 and holds a License No. 010551-1 (New York).

The current practice location address for Lauren A Lopera is 122 Portion Rd, Ronkonkoma, NY and can be reached out via phone at 631-588-6665 and via fax at 631-580-5543.

Location: 122 Portion Rd, Ronkonkoma, NY, 11779-4174
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Provider Profile Details
NPI Number
1184874687
Provider Name
Lauren A Lopera
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
122 Portion Rd, Ronkonkoma, NY, 11779-4174
Phone Number
631-588-6665
Fax Number
631-580-5543
Provider Enumeration Date
09/22/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
010551-01 01 NY NYS REGISTRATION CERTIFICATE
institution
Provider Business Practice Location Address Details
Address
122 Portion Rd
City
State
Zip
11779-4174
Phone Number
631-588-6665
Fax Number
631-580-5543
person
Provider Business Mailing Address Details
Address
122 Portion Rd
City
State
Zip
11779-4174
Phone Number
631-588-6665
Fax Number
631-580-5543
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
010551-1 (New York)
Definition
Definition to come...
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