Individual
LAUREN ERICA RADZIEJEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
632 BROADWAY PH, NEW YORK, NY 10012-2614
(347) 933-6246
(855) 318-8277
Mailing address
632 BROADWAY PH, NEW YORK, NY 10012-2614
(347) 933-6246
(855) 318-8277
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
R1996443
MN
363LA2200X
Adult Health Nurse Practitioner
Primary
F308896
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01088497
MEDICARE RAILROAD
MN
Enumeration date
01/24/2011
Last updated
01/13/2022
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