# DR. LAUREN TAYLOR VAN DE WATER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1508337205
- **Gender:** F
- **Credential:** DC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 013204 | NY | Yes |

## Other

- **Enumeration date:** 12/07/2018
- **Last updated:** 02/23/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 013204 | NEW YORK STATE LICENSE | NY |