Individual
DR. LAUREN CARLYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
151 INTREPID LANE, SYRACUSE, NY 13205
(315) 469-8191
(315) 469-4482
Mailing address
151 INTREPID LANE, SYRACUSE, NY 13205
(315) 469-8191
(315) 469-4482
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
288591
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04773337
—
NY
Enumeration date
03/22/2012
Last updated
04/10/2019
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