Individual
LAUREN BROADBELT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 HOWELLS TPKE, MIDDLETOWN, NY 10940-6154
(914) 255-6858
Mailing address
100 HOWELLS TPKE, MIDDLETOWN, NY 10940-6154
(914) 255-6858
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
09/05/2022
Last updated
09/05/2022
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