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Individual

LAUREN M ZUMPANO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
301 PROSPECT AVE, SYRACUSE, NY 13203-1807
(315) 448-5111
Mailing address
301 PROSPECT AVE, ST. JOSEPH'S HOSPITAL HEALTH CENTER, SYRACUSE, NY 13203-1807
(315) 448-5111

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F334963
NY
363LA2200X
Adult Health Nurse Practitioner
F334963
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02960254
NY
05
0296254
NY
Enumeration date
04/10/2008
Last updated
04/03/2012
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