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Individual

LAUREN MARIE DESALLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
200 QUINN DR, PITTSBURGH, PA 15275-1055
(412) 264-9500
(412) 264-8999
Mailing address
200 QUINN DR, PITTSBURGH, PA 15275-1055
(412) 264-9500
(412) 264-8999

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
SP019298
PA
363LF0000X
Family Nurse Practitioner
Primary
SP019298
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
103587089
PA
01
4894925
AETNA PIN
PA
01
7A0137
MEDICARE
PA
Enumeration date
09/26/2018
Last updated
02/12/2025
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