Individual
MISS LAUREN P WEGGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
777 SUNRISE HWY, SUITE 200, LYNBROOK, NY 11563-2950
(516) 887-3516
(516) 887-0331
Mailing address
777 SUNRISE HWY, SUITE 200, LYNBROOK, NY 11563-2950
(516) 887-3516
(516) 887-0331
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
015227
NY
Other
Enumeration date
10/13/2011
Last updated
09/10/2020
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