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Lauren Rose Dierlam, PA
Medical Physician Assistant in Red Hook, New York
NPI 1285187633

Lauren Rose Dierlam is a Medical Physician Assistant based in Red Hook, NY and is specialized in Medical. Lauren Rose Dierlam practices in Red Hook, NY and has the professional credentials of PA. The NPI Number for Lauren Rose Dierlam is 1285187633 and holds a License No. (New York).

The current practice location address for Lauren Rose Dierlam is 7385 S Broadway # 2, Red Hook, NY and can be reached out via phone at 845-758-1456 and via fax at 845-758-9590.

Location: 7385 S Broadway # 2, Red Hook, NY, 12571-1745
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1285187633
Provider Name
Lauren Rose Dierlam
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
7385 S Broadway # 2, Red Hook, NY, 12571-1745
Phone Number
845-758-1456
Fax Number
845-758-9590
Provider Enumeration Date
08/02/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
7385 S Broadway # 2
City
Red Hook
State
New York
Zip
12571-1745
Phone Number
845-758-1456
Fax Number
845-758-9590
person
Provider Business Mailing Address Details
Address
7385 S Broadway # 2
City
Red Hook
State
New York
Zip
12571-1745
Phone Number
845-758-1456
Fax Number
845-758-9590
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
()
Definition
Definition to come...
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