Individual
LAUREN THERESA MONTALVO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2600 N AMERICAN ST, PHILADELPHIA, PA 19133-3413
(201) 560-6454
Mailing address
2600 N AMERICAN ST, PHILADELPHIA, PA 19133-3413
(201) 560-6454
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
SP029145
PA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SP033261
PA
Other
Enumeration date
01/23/2024
Last updated
03/29/2026
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