Individual
LAUREN CONCODORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
2159 ROUTE 88 E, BRICK, NJ 08724-3232
(732) 899-0015
Mailing address
PO BOX 825159, PHILADELPHIA, PA 19182-5159
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
25MD00368900
NJ
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
25MD00368900
NJ
213ES0103X
Foot & Ankle Surgery Podiatrist
E1-0000217
DE
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
SC006208
PA
Other
Enumeration date
06/28/2010
Last updated
01/12/2026
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