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Lauren Nicole Russo
Family Nurse Practitioner in Sayville, New York
NPI 1780435891

Lauren Nicole Russo is a Family Nurse Practitioner based in Sayville, NY and is specialized in Family. Lauren Nicole Russo practices in Sayville, NY. The NPI Number for Lauren Nicole Russo is 1780435891 and holds a License No. 353391 (New York).

The current practice location address for Lauren Nicole Russo is 49 Sejon Dr, Sayville, NY and can be reached out via phone at 631-317-3614.

Location: 49 Sejon Dr, Sayville, NY, 11782-3226
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780435891
Provider Name
Lauren Nicole Russo
Credential
Provider Entity Type
Individual
Gender
Female
Address
49 Sejon Dr, Sayville, NY, 11782-3226
Phone Number
631-317-3614
Fax Number
Provider Enumeration Date
03/27/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
49 Sejon Dr
City
Sayville
State
New York
Zip
11782-3226
Phone Number
631-317-3614
Fax Number
person
Provider Business Mailing Address Details
Address
49 Sejon Dr
City
Sayville
State
New York
Zip
11782-3226
Phone Number
631-317-3614
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
353391 (New York)
Definition
Definition to come...
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