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Individual
MS. LAUREN TAYLOR TEDESCO
Active
Individual
MS. LAUREN TAYLOR TEDESCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
012605
NY
363AS0400X
Surgical Physician Assistant
012605-1
NY
Other
Enumeration date
08/03/2008
Last updated
06/04/2015
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