LAUREN MARIA MANCUSO

DEPEW, NY
NPI1760899769
Former NameLAUREN MARIA MICKIEWICZ
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NY  017771)
Enumeration Date2014-07-22
Last Update Date2023-01-24
Business Address
Mrs. LAUREN MARIA MANCUSO PA
6420 TRANSIT RD STE A
DEPEW, NY 14043-1033
Phone number: 716-845-1600
Mailing Address
Mrs. LAUREN MARIA MANCUSO PA
3041 ORCHARD PARK RD STE C ATT: CREDENTIALING
ORCHARD PAR, NY 14127-1238
Phone number: 716-674-3104
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