Provider Demographics
NPI:1437915790
Name:THOMAS, LAUREN CHRISTINA (LPN)
Entity Type:Individual
Prefix:MISS
First Name:LAUREN
Middle Name:CHRISTINA
Last Name:THOMAS
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 901180
Mailing Address - Street 2:
Mailing Address - City:FAR ROCKAWAY
Mailing Address - State:NY
Mailing Address - Zip Code:11690-1180
Mailing Address - Country:US
Mailing Address - Phone:516-405-9594
Mailing Address - Fax:
Practice Address - Street 1:221 BEACH 80TH ST APT 1K
Practice Address - Street 2:
Practice Address - City:ROCKAWAY BEACH
Practice Address - State:NY
Practice Address - Zip Code:11693-2005
Practice Address - Country:US
Practice Address - Phone:516-405-9594
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-26
Last Update Date:2024-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY295333164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse