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Individual

LAUREN SAMANTHA BERGER NOSANOV

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
304581
NY
208600000X
Surgery Physician
77282
WI
2086S0127X
Trauma Surgery Physician
77282
WI
2086S0127X
Trauma Surgery Physician
Primary
98400
GA

Other

Enumeration date
03/30/2014
Last updated
02/05/2024
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