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1013659879
LAUREN KELLY FANNING
UNIONDALE, NY
NPI
1013659879
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY 348442)
Enumeration Date
2022-04-12
Last Update Date
2024-09-16
Business Address
LAUREN KELLY FANNING NP
1101 HEMPSTEAD TPKE
UNIONDALE, NY 11553-1112
Phone number: 212-610-0497
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Mailing Address
LAUREN KELLY FANNING NP
1101 HEMPSTEAD TPKE
UNIONDALE, NY 11553-1112
Phone number: 212-610-0497
Copy
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