Individual
LAUREN MICHELLE CRUTHERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1275 YORK AVE, NEW YORK, NY 10065-6007
(248) 225-1595
Mailing address
1275 YORK AVE, NEW YORK, NY 10065-6007
(248) 225-1595
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
016895
NY
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
08/21/2013
Last updated
01/26/2021
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