Individual
LAUREN NOVAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4238
(267) 421-1040
Mailing address
1736 GREEN ST APT 1R, PHILADELPHIA, PA 19130-3912
(267) 421-1040
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP021189
PA
Other
Enumeration date
04/11/2020
Last updated
04/11/2020
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