Individual
LAUREN MICHELLE PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2381 FREDERICK DOUGLASS BLVD, NEW YORK, NY 10027-1822
(888) 364-3065
Mailing address
9830 67TH AVE APT 3K, REGO PARK, NY 11374-4944
(401) 338-8997
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
307458
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/26/2018
Last updated
06/21/2021
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