| NPI | 1225265259 |
|---|---|
| Former Name | LAUREN MENTASTI CONSONNI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CT 010045) |
| Additional Taxonomies | 122300000X Dentist (Licence: CT 010045) |
| Enumeration Date | 2009-06-17 |
| Last Update Date | 2016-04-20 |