Individual
DR. LAUREN HEISINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
9 CENTURY HILL DR, LATHAM, NY 12110-2113
(518) 785-3911
Mailing address
30 STARBUCK DR UNIT 118, GREEN ISLAND, NY 12183-1263
(516) 528-9846
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
061953
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
NY
Other
Enumeration date
05/04/2019
Last updated
04/04/2023
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