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1851829972
LAUREN ELAINE PROVINI
PHILADELPHIA, PA
NPI
1851829972
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: PA MT212733)
Enumeration Date
2017-06-02
Last Update Date
2022-07-21
Business Address
Dr. LAUREN ELAINE PROVINI MD
3401 CIVIC CENTER BLVD RM 55
PHILADELPHIA, PA 19104-4319
Phone number: 215-590-1220
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Mailing Address
Dr. LAUREN ELAINE PROVINI MD
3401 CIVIC CENTER BLVD RM 55
PHILADELPHIA, PA 19104-4319
Phone number: 215-590-1220
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