LAUREN NICOLE RUSSO

STONY BROOK, NY
NPI1780435891
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: NY  353391)
Enumeration Date2024-03-27
Last Update Date2024-12-10
Business Address
LAUREN NICOLE RUSSO
101 NICHOLLS ROAD
STONY BROOK, NY 11794-3226
Phone number: 631-263-8240
Mailing Address
LAUREN NICOLE RUSSO
49 SEJON DR
SAYVILLE, NY 11782-3226
Phone number: 631-317-3614
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