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Individual

MRS. LAUREN C TIERNEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PNP-AC

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
430777
NY
363LP0200X
Pediatric Nurse Practitioner
Primary
RN2333427
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02572287
NY
Enumeration date
05/19/2014
Last updated
09/23/2019
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