Provider Demographics
NPI:1033416052
Name:LYSZKOWSKI, LAUREN N (MSN, ACNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:LAUREN
Middle Name:N
Last Name:LYSZKOWSKI
Suffix:
Gender:F
Credentials:MSN, ACNP-BC
Other - Prefix:
Other - First Name:LAUREN
Other - Middle Name:N
Other - Last Name:GOLDSCHMIDT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSN, ACNP-BC
Mailing Address - Street 1:2476 SWEDESFORD RD. SUITE 150
Mailing Address - Street 2:
Mailing Address - City:MALVERN
Mailing Address - State:PA
Mailing Address - Zip Code:19355
Mailing Address - Country:US
Mailing Address - Phone:215-676-9191
Mailing Address - Fax:
Practice Address - Street 1:2476 SWEDESFORD RD. SUITE 150
Practice Address - Street 2:
Practice Address - City:MALVERN
Practice Address - State:PA
Practice Address - Zip Code:19355
Practice Address - Country:US
Practice Address - Phone:215-676-9191
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-28
Last Update Date:2016-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP011258363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care