Individual
LAUREN DANIELLE SUTHERLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
622 W 168TH ST, NEW YORK, NY 10032-3720
(212) 305-2500
Mailing address
622 W 168TH ST, NEW YORK, NY 10032-3720
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
290999-1
NY
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
Primary
290999-1
NY
Other
Enumeration date
04/08/2013
Last updated
04/21/2019
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