Individual
LAUREN DERIGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
152 S LONG BEACH AVE, FREEPORT, NY 11520-4336
(516) 492-5797
Mailing address
152 S LONG BEACH AVE, FREEPORT, NY 11520-4336
(516) 492-5797
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
421248
NY
Other
Enumeration date
10/30/2016
Last updated
10/30/2016
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