Individual
LAUREN DEMINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 OLD COUNTRY RD STE 140, MINEOLA, NY 11501
(516) 742-6159
Mailing address
200 OLD COUNTRY RD STE 140, MINEOLA, NY 11501-4273
(516) 742-6159
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
308398
NY
Other
Enumeration date
09/11/2017
Last updated
07/21/2022
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