Individual
LAUREN SHABAZIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
132 S 10TH ST STE 585, PHILADELPHIA, PA 19107-5244
(215) 955-8900
Mailing address
132 S 10TH ST STE 585, PHILADELPHIA, PA 19107-5244
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP021545
PA
Other
Enumeration date
02/13/2020
Last updated
02/13/2020
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