Individual
DR. LAUREN KOPYT CHASE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
049286
CT
208000000X
Pediatrics Physician
25MA08786200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008030211
—
CT
Enumeration date
07/02/2010
Last updated
01/03/2022
Update your record
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