Individual
LAUREN BETH PIANUCCI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
(215) 590-1000
Mailing address
1300 FAIRMOUNT AVE UNIT 1342, PHILADELPHIA, PA 19123-2490
(908) 246-3574
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA063795
PA
Other
Enumeration date
08/30/2022
Last updated
08/30/2022
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