Individual
LAUREN PITLUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
4422 3RD AVE, ST. BARNABAS HOSPITAL, DEPARTMENT OF DENTISTRY, BRONX, NY 10457-2545
(718) 960-9000
Mailing address
28 CUMBERLAND ST, APT 2, BOSTON, MA 02115-5308
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
50056730
NY
Other
Enumeration date
03/27/2013
Last updated
10/10/2014
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