MISS Lauren Fusco

NPI #1083966410 in Massapequa Park, New York

Provider Information

NPI Number: 1083966410
Entity Type: Individual
Name: MISS Lauren Fusco
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Enumeration Date: Oct 9, 2012
Last Updated: Oct 9, 2012

Practice Location

Address: 37 BRENDAN AVE
City: Massapequa Park
State: New York
ZIP Code: 11762-3305
Phone: (516) 946-2421

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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