Individual
DR. LAURA LENNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1916 UNION BLVD, BAY SHORE, NY 11706-7921
(631) 666-2290
(631) 666-2283
Mailing address
1916 UNION BLVD, BAY SHORE, NY 11706-7921
(631) 666-2290
(631) 666-2283
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
200075
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02263954
—
NY
Enumeration date
06/07/2006
Last updated
09/11/2024
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