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Individual

MRS. LAUREN SLACK HOUSER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
1800 BYBERRY RD, SUITE 703, HUNTINGDON VALLEY, PA 19006-3518
(215) 947-9131
(215) 947-7194
Mailing address
1800 BYBERRY RD, SUITE 703, HUNTINGDON VALLEY, PA 19006-3518
(215) 947-9131
(215) 947-7194

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP011191
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
SP011191
CRNP #
PA
Enumeration date
01/06/2011
Last updated
01/06/2011
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