Individual
LAUREN HANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 WOODS RD, VALHALLA, NY 10595-1530
(914) 493-2500
Mailing address
12 WOOSTER ST, RIDGEFIELD, CT 06877-2526
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
3897
CT
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
07/08/2017
Last updated
08/13/2021
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