Individual
LAUREN ANN OHARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
629 BAY RIDGE AVE, BROOKLYN, NY 11220-7804
(347) 381-0500
Mailing address
629 BAY RIDGE AVE APT 1 REAR, BROOKLYN, NY 11220
(347) 381-0500
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F308152-1
NY
Other
Enumeration date
01/26/2018
Last updated
04/03/2020
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