Individual
DR. ALEXANDRA ROSE LAUTERBORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
7 SEAN MICHAEL CT, FARMINGDALE, NY 11735-2124
(516) 655-2075
Mailing address
7 SEAN MICHAEL CT, FARMINGDALE, NY 11735-2124
(516) 655-2075
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/19/2016
Last updated
04/19/2016
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