person
Lauren C Derrick, NP
Adult Health Nurse Practitioner in Liverpool, New York
NPI 1669470951

Lauren C Derrick is an Adult Health Nurse Practitioner based in Fayetteville, NY and is specialized in Adult Health. Lauren C Derrick practices in Liverpool, NY and has the professional credentials of NP. The NPI Number for Lauren C Derrick is 1669470951 and holds a License No. 301621 (New York).

The current practice location address for Lauren C Derrick is 5112 W Taft Rd Ste J, Liverpool, NY and can be reached out via phone at 315-701-2170 and via fax at 315-701-2185.

Location: 5112 W Taft Rd Ste J, Liverpool, NY, 13066-1331
person
Provider Profile Details
NPI Number
1669470951
Provider Name
Lauren C Derrick
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
5112 W Taft Rd Ste J, Liverpool, NY, 13066-1331
Phone Number
315-701-2170
Fax Number
315-701-2185
Provider Enumeration Date
07/11/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01980230 05 NY
institution
Provider Business Practice Location Address Details
Address
5112 W Taft Rd Ste J
City
State
Zip
13088-4866
Phone Number
315-701-2170
Fax Number
315-701-2185
person
Provider Business Mailing Address Details
Address
5112 W Taft Rd Ste J
City
State
Zip
13088-4866
Phone Number
315-701-2170
Fax Number
315-701-2185
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
301621 (New York)
Definition
Definition to come...
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