Individual
LAUREN DEBRA MATZEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MAC,LICAC,NCCAOM DIP
Contact information
Practice address
52 JAGGER LN, SOUTHAMPTON, NY 11968-4822
(516) 527-6698
Mailing address
52 JAGGER LN, SOUTHAMPTON, NY 11968-4822
(516) 527-6698
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
000656
NY
Other
Enumeration date
01/29/2019
Last updated
01/29/2019
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