Individual
MS. JULIE A LAURENI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5800 RIDGE AVE, PHILADELPHIA, PA 19128
(215) 483-9900
Mailing address
1236 RXR PLZ, UNIONDALE, NY 11556-1236
(516) 252-3939
(516) 640-5757
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA060336
PA
Other
Enumeration date
10/29/2018
Last updated
10/13/2019
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