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Individual
LAUREN MANNIELLO
Active
Individual
LAUREN MANNIELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
034051
NY
363A00000X
Physician Assistant
25MP00954700
NJ
Other
Enumeration date
06/11/2025
Last updated
05/19/2026
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