Individual
ALLA LAVRENOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
423 E 23RD ST, NEW YORK, NY 10010-5011
(212) 686-7500
Mailing address
7 PARKER ST, STATEN ISLAND, NY 10307-1322
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F304272-1
NY
Other
Enumeration date
09/25/2006
Last updated
08/17/2009
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