Individual
LAUREN POWERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5 BRAKEMAN CT, HIGHTSTOWN, NJ 08520-3064
(516) 220-3421
Mailing address
5 BRAKEMAN CT, HIGHTSTOWN, NJ 08520-3064
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
884497991
NY
Other
Enumeration date
09/21/2012
Last updated
09/21/2012
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