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Individual

LAUREN MARY SAPKO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
1800 E PARK AVE, STATE COLLEGE, PA 16803-6709
(814) 231-7000
Mailing address
3945 S ATHERTON ST, STATE COLLEGE, PA 16801-8308
(814) 466-5090
(814) 466-5095

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
588080
PA
367500000X
Certified Registered Nurse Anesthetist
Primary
RN588080
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1029275330001
PA
Enumeration date
02/23/2014
Last updated
12/07/2016
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