Individual
DR. LAUREN BLACKWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
150 BERGEN ST, ROOM I-248, NEWARK, NJ 07103-2496
(973) 972-6056
(973) 972-3129
Mailing address
150 BERGEN ST, ROOM I-248, NEWARK, NJ 07103-2496
(973) 972-6056
(973) 972-3129
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
286735
NY
207RP1001X
Pulmonary Disease Physician
Primary
286735
NY
Other
Enumeration date
05/01/2010
Last updated
03/29/2022
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