Individual
LAUREN COOLBAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
589 CONNETQUOT AVE, ISLIP TERRACE, NY 11752-2503
(631) 356-4891
Mailing address
589 CONNETQUOT AVE, ISLIP TERRACE, NY 11752-2503
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/31/2022
Last updated
10/31/2022
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