Individual
LAUREN HANNON REDLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
622 W 168TH ST, PH 11-1130, NEW YORK, NY 10032-3720
(212) 305-5974
Mailing address
622 W 168TH ST PH 11-1130, NEW YORK, NY 10032-3720
(212) 305-5974
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
272517
NY
207XP3100X
Pediatric Orthopaedic Surgery Physician
272517
NY
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
272517
NY
Other
Enumeration date
04/27/2009
Last updated
03/06/2023
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