Individual
LAUREN ELIZABETH COLOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 887-3585
Mailing address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(405) 714-4024
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD474597
PA
208600000X
Surgery Physician
MT209391
PA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/10/2015
Last updated
07/06/2023
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