Individual
LAUREN MELO BANGOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
700 WALNUT ST, PHILADELPHIA, PA 19106-3505
(215) 503-7300
(215) 503-5666
Mailing address
700 WALNUT ST, PHILADELPHIA, PA 19106-3505
(215) 503-7300
(215) 503-5666
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OS017040
PA
207P00000X
Emergency Medicine Physician
OT013139
PA
207P00000X
Emergency Medicine Physician
TL1661
SC
Other
Enumeration date
06/18/2009
Last updated
07/28/2021
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