Individual
DR. LAUREN ELIZABETH SUSEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
270 S. RIVER STREET, PLAINS, PA 18705-1191
(570) 829-1009
(570) 829-1066
Mailing address
270 S. RIVER STREET, PLAINS, PA 18705-1191
(570) 829-1009
(570) 829-1066
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS040352
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103125736-0001
—
PA
Enumeration date
05/20/2015
Last updated
08/06/2019
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