| NPI | 1841620127 |
|---|---|
| Former Name | LAUREN PICCIANO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: NJ 25MP00496100) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY 089305) |
| Enumeration Date | 2013-11-22 |
| Last Update Date | 2018-10-03 |