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Lauren Boehm
Pediatric Adolescent Medicine Physician in New York, New York
NPI 1487189700

Lauren Boehm is a Pediatric Adolescent Medicine Physician based in New Orleans, NY and is specialized in Adolescent Medicine. Lauren Boehm practices in New York, NY. The NPI Number for Lauren Boehm is 1487189700 and holds a License No. (New York).

The current practice location address for Lauren Boehm is 550 1St Ave, New York, NY and can be reached out via phone at 212-263-5506.

Location: 550 1St Ave, New York, NY, 70117-7850
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1487189700
Provider Name
Lauren Boehm
Credential
Provider Entity Type
Individual
Gender
Female
Address
550 1St Ave, New York, NY, 70117-7850
Phone Number
212-263-5506
Fax Number
Provider Enumeration Date
04/24/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
13-3971298 01 NY TISCH
institution
Provider Business Practice Location Address Details
Address
550 1St Ave
City
New York
State
New York
Zip
10016-6402
Phone Number
212-263-5506
Fax Number
person
Provider Business Mailing Address Details
Address
550 1St Ave
City
New York
State
New York
Zip
10016-6402
Phone Number
212-263-5506
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
Adolescent Medicine
Taxonomy
2080A0000X
License No.
306577 (New York)
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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