| NPI | 1275157349 |
|---|---|
| Former Name | LAUREN MARIE BIERNACKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: WI 6001905-15) |
| Additional Taxonomies | 122300000X Dentist (Licence: IL 019032618) |
| Enumeration Date | 2020-06-03 |
| Last Update Date | 2025-08-05 |