| NPI | 1801282090 |
|---|---|
| Former Name | LAUREN ASHLEY MACEDONIA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ 25MB10551500) |
| Additional Taxonomies | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: NJ 25MB10551500) |
| Enumeration Date | 2015-04-14 |
| Last Update Date | 2022-03-14 |