Provider Demographics
NPI:1497079107
Name:HERRING, LAUREN HELENA
Entity Type:Individual
Prefix:PROF
First Name:LAUREN
Middle Name:HELENA
Last Name:HERRING
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 RAILROAD ST
Mailing Address - Street 2:APT 212W
Mailing Address - City:SLATERSVILLE
Mailing Address - State:RI
Mailing Address - Zip Code:02876-8053
Mailing Address - Country:US
Mailing Address - Phone:845-392-8807
Mailing Address - Fax:
Practice Address - Street 1:10 RAILROAD ST
Practice Address - Street 2:APT 212W
Practice Address - City:SLATERSVILLE
Practice Address - State:RI
Practice Address - Zip Code:02876-8053
Practice Address - Country:US
Practice Address - Phone:845-392-8807
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-24
Last Update Date:2010-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator