Provider Demographics
NPI:1114522760
Name:RONDE, LAUREN (NP)
Entity Type:Individual
Prefix:MRS
First Name:LAUREN
Middle Name:
Last Name:RONDE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:MS
Other - First Name:LAUREN
Other - Middle Name:
Other - Last Name:MOGELNICKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:115 E 57TH ST STE 610
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-2129
Mailing Address - Country:US
Mailing Address - Phone:212-535-3505
Mailing Address - Fax:
Practice Address - Street 1:115 E 57TH ST STE 610
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-2129
Practice Address - Country:US
Practice Address - Phone:212-535-3505
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-02
Last Update Date:2021-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY431821363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care